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General NPI Number Information
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NPI Number | 1003810342
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Entity Type | Individual
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Provider Name | RAJEEV ROHATGI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 04/11/2019
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Provider Practice Location Address
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Address Line | 2001 FAIRVIEW AVE
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City | EASTON
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State | PA
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Zip | 18042-3915
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Country | US
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Telephone | 610-442-2082
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Fax | 610-438-2419
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Provider Business Mailing Address
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Address Line | PO BOX 783311
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City | PHILADELPHIA
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State | PA
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Zip | 19178-3311
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Country | US
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Telephone | 484-862-3295
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Fax | 484-664-7659
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MA41041
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD022859-E
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License Number State | PA
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