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General NPI Number Information
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NPI Number | 1225167000
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Entity Type | Organization
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Legal Business Name | RAJ ASSOCIATES, LLP
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 414 S WASHINGTON AVE
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City | LIVINGSTON
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State | TX
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Zip | 77351-3447
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Country | US
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Telephone | 936-327-9677
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Fax | 936-327-5208
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Provider Business Mailing Address
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Address Line | PO BOX 130654
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City | THE WOODLANDS
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State | TX
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Zip | 77393-0654
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Country | US
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Telephone | 832-656-8829
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PRATHAP POOLAPALLY REDDY
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Credential |
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Telephone | 832-656-8829
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number |
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License Number State |
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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 |
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License Number State |
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