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General NPI Number Information
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NPI Number | 1013282532
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Entity Type | Individual
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Provider Name | KUSUMA C RAO M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/16/2012
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Last Update Date | 05/02/2013
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Provider Practice Location Address
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Address Line | 9841 WASHINGTONIAN BLVD SUITE390
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City | GAITHERSBURG
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State | MD
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Zip | 20878-5389
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Country | US
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Telephone | 301-208-8770
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Fax | 301-208-8394
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Provider Business Mailing Address
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Address Line | 9841 WASHINGTONIAN BLVD SUITE390
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City | GAITHERSBURG
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State | MD
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Zip | 20878-5389
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Country | US
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Telephone | 301-208-8770
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Fax | 301-208-8394
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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 | 207ZC0006X
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Taxonomy Name | Clinical Pathology Physician
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License Number | D0019272
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License Number State | MD
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