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General NPI Number Information
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NPI Number | 1174708341
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Entity Type | Individual
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Provider Name | RAJASEKHAR JAGARLAMUDI MD
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Gender | Male
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 09/26/2014
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Provider Practice Location Address
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Address Line | 5333 MCAULEY DR STE 6109
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City | YPSILANTI
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State | MI
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Zip | 48197-0000
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Country | US
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Telephone | 734-712-8600
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Fax | 734-712-8636
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Provider Business Mailing Address
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Address Line | 24 FRANK LLOYD WRIGHT DR PO BOX 0446 LOBBY J
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City | ANN ARBOR
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State | MI
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Zip | 48105-9484
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Country | US
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Telephone | 734-747-6766
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Fax | 734-222-3100
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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 | MT187663
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 4301095237
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License Number State | MI
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