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General NPI Number Information
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NPI Number | 1053628198
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Entity Type | Individual
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Provider Name | RAJARATHINAM SUBRAMANIAM M.D
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Gender | Male
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Dates
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Enumeration Date | 09/10/2010
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Last Update Date | 10/30/2012
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Provider Practice Location Address
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Address Line | 4550 CALIFORNIA AVE SUIT 500
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City | BAKERSFIELD
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State | CA
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Zip | 93309-7020
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Country | US
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Telephone | 732-354-6272
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Fax |
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Provider Business Mailing Address
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Address Line | 4550 CALIFORNIA AVE SUIT 500 MANAGED CARE SYSTEMS LLC
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City | BAKERSFIELD
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State | CA
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Zip | 93309-7020
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Country | US
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Telephone | 732-354-6272
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A123370
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License Number State | CA
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