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General NPI Number Information
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NPI Number | 1003049065
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Entity Type | Organization
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Legal Business Name | RAJ PLASTIC SURGERY LLC
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Dates
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Enumeration Date | 08/25/2009
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Last Update Date | 10/23/2020
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Provider Practice Location Address
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Address Line | 30400 DETROIT RD STE LL10
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City | WESTLAKE
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State | OH
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Zip | 44145-5845
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Country | US
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Telephone | 440-808-8030
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Fax | 440-808-8032
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Provider Business Mailing Address
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Address Line | 30400 DETROIT RD STE LL10
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City | WESTLAKE
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State | OH
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Zip | 44145-5845
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Country | US
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Telephone | 440-808-8030
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Fax | 440-808-8032
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Authorized Official
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Title or Position | OWNER
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Name | JOYESH RAJ
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Credential | M.D.
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Telephone | 440-808-8030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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