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General NPI Number Information
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NPI Number | 1194751214
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Entity Type | Individual
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Provider Name | GOPIKISHAN R. RANGARAJ M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 07/09/2014
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Provider Practice Location Address
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Address Line | 509 W TIDWELL RD STE 316
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City | HOUSTON
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State | TX
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Zip | 77091-4355
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Country | US
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Telephone | 713-742-8200
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Fax | 713-742-8202
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Provider Business Mailing Address
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Address Line | 509 W TIDWELL RD STE 316
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City | HOUSTON
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State | TX
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Zip | 77091-4355
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Country | US
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Telephone | 713-742-8200
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Fax | 713-742-8202
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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 | K1633
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License Number State | TX
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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 | K1633
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License Number State | TX
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