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General NPI Number Information
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NPI Number | 1154776771
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Entity Type | Individual
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Provider Name | RAJ DHARMA MURTHY MD, MPH
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Gender | Male
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 08/18/2022
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Provider Practice Location Address
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Address Line | 65 E 96TH ST APT 1B
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City | NEW YORK
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State | NY
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Zip | 10128-0776
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Country | US
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Telephone | 646-989-4887
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Fax |
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Provider Business Mailing Address
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Address Line | 28 LAMBERT RDG
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City | CROSS RIVER
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State | NY
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Zip | 10518-1125
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Country | US
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Telephone | 646-939-9401
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 305990
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 68896
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License Number State | CT
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