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General NPI Number Information
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NPI Number | 1043471212
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Entity Type | Organization
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Legal Business Name | CHARANJIT S RAO MD PC
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Dates
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Enumeration Date | 06/20/2008
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 10 WINTHROP ST
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City | WORCESTER
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State | MA
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Zip | 01604-4435
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Country | US
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Telephone | 508-756-2244
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Fax | 508-752-0621
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Provider Business Mailing Address
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Address Line | 10 WINTHROP ST
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City | WORCESTER
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State | MA
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Zip | 01604-4435
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Country | US
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Telephone | 508-756-2244
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Fax | 508-752-0621
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Authorized Official
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Title or Position | BILLING ADMINISTRATOR
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Name | DEBORAH A WLOCH
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Credential |
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Telephone | 508-363-7080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 446451
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License Number State | MA
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