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General NPI Number Information
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NPI Number | 1194528752
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Entity Type | Individual
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Provider Name | KHEMRAJ RUPEE M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/29/2025
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 2700 DOLBEER ST
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City | EUREKA
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State | CA
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Zip | 95501-4736
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Country | US
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Telephone | 707-445-8121
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Fax | 707-269-7116
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Provider Business Mailing Address
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Address Line | 9574 115TH ST
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City | SOUTH RICHMOND HILL
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State | NY
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Zip | 11419-1126
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Country | US
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Telephone | 718-925-7615
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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