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General NPI Number Information
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NPI Number | 1225180672
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Entity Type | Organization
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Legal Business Name | SEMUR P. RAJAN, M.D., INC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 12/03/2009
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Provider Practice Location Address
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Address Line | 275 CLINE AVE
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City | MANSFIELD
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State | OH
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Zip | 44907-1019
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Country | US
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Telephone | 419-756-1230
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Fax | 419-756-8654
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Provider Business Mailing Address
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Address Line | 275 CLINE AVE
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City | MANSFIELD
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State | OH
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Zip | 44907-1019
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Country | US
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Telephone | 419-756-1230
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Fax | 419-756-8654
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SEMUR P. RAJAN
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Credential | M.D.
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Telephone | 419-756-1230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35033496R
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License Number State | OH
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