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General NPI Number Information
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NPI Number | 1194911594
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Entity Type | Organization
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Legal Business Name | RAJ U. DUGEL MD INC
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 11/19/2008
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Provider Practice Location Address
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Address Line | 4825 TORRANCE BLVD SUITE 100
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City | TORRANCE
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State | CA
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Zip | 90503-4134
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Country | US
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Telephone | 310-937-6585
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Fax |
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Provider Business Mailing Address
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Address Line | 21213 B HAWTHORNE BLVD PMB 5472
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City | TORRANCE
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State | CA
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Zip | 90503
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Country | US
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Telephone | 310-937-6585
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | RAJ U. DUGEL
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Credential | MD
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Telephone | 310-937-6585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G48690
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License Number State | CA
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