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General NPI Number Information
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NPI Number | 1205022084
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Entity Type | Individual
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Provider Name | WASIM H. RAJA M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/14/2007
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Last Update Date | 12/18/2023
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Provider Practice Location Address
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Address Line | 11100 WARNER AVE STE 110
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-7500
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Country | US
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Telephone | 714-486-3477
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Fax | 833-334-0495
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Provider Business Mailing Address
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Address Line | 11100 WARNER AVE STE 110
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-7500
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Country | US
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Telephone | 714-486-3477
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Fax | 833-334-0495
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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 | 110055
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 24295
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | S5744
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA10681000
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DR.0062832
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License Number State | CO
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD61157145
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License Number State | WA
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Taxonomy #7
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | DR.0062832
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License Number State | CO
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Taxonomy #8
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A110055
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License Number State | CA
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