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General NPI Number Information
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NPI Number | 1114365152
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Entity Type | Individual
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Provider Name | RAJNI SANDHU MARCO M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/12/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1826 W ARLINGTON BLVD CHILDREN'S HEALTH SERVICES, PA
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City | GREENVILLE
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State | NC
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Zip | 27834-5704
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Country | US
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Telephone | 252-329-7337
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Fax | 252-329-1477
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Provider Business Mailing Address
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Address Line | 9059 W. LAKE PLEASANT PKWY STE E-540
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City | PEORIA
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State | AZ
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Zip | 85382
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Country | US
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Telephone | 623-322-3380
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Fax | 623-322-4399
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2016-01573
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License Number State | NC
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