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General NPI Number Information
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NPI Number | 1992452627
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Entity Type | Individual
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Provider Name | RAFIAH ANJUM OD
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Gender | Female
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Dates
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Enumeration Date | 03/02/2022
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 55 LOCK ST
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City | NEW HAVEN
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State | CT
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Zip | 06511-3603
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Country | US
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Telephone | 203-432-0246
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Fax |
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Provider Business Mailing Address
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Address Line | 275 WABASH RD
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-4454
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Country | US
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Telephone | 248-251-5494
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4901005600
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3435
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License Number State | CT
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