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General NPI Number Information
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NPI Number | 1134216716
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Entity Type | Individual
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Provider Name | JEHANGIR N RAO MD
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Gender | Male
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 09/07/2007
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Provider Practice Location Address
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Address Line | 35330 NANKIN BLVD STE 701
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City | WESTLAND
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State | MI
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Zip | 48185
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Country | US
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Telephone | 800-689-0713
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Fax | 248-366-8614
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Provider Business Mailing Address
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Address Line | 3771 LOCH BEND DR
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City | COMMERCE TOWNSHIP
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State | MI
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Zip | 48382
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Country | US
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Telephone |
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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 | 4301033622
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License Number State | MI
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