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General NPI Number Information
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NPI Number | 1114432093
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Entity Type | Individual
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Provider Name | RAJAT KALRA MD
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Gender | Male
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Dates
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Enumeration Date | 12/13/2017
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Last Update Date | 12/13/2017
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Provider Practice Location Address
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Address Line | 6621 FANNIN STREET WT-19345H
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City | HOUSTON
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State | TX
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Zip | 77030-2399
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Country | US
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Telephone | 832-826-1929
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Fax | 832-825-1904
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Provider Business Mailing Address
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Address Line | 6621 FANNIN STREET WT-19345H
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City | HOUSTON
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State | TX
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Zip | 77030-2399
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Country | US
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Telephone | 832-826-1929
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Fax | 832-825-1904
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 45940
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License Number State | TX
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