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General NPI Number Information
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NPI Number | 1235375973
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Entity Type | Individual
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Provider Name | RAGHVENDRA PRAJAPATI C.PED.
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Gender | Male
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Dates
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Enumeration Date | 12/31/2008
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Last Update Date | 12/31/2008
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Provider Practice Location Address
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Address Line | 223 E 14TH ST SUITE 5
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City | HASTINGS
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State | NE
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Zip | 68901-3200
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Country | US
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Telephone | 402-461-4931
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Fax | 402-461-4932
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Provider Business Mailing Address
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Address Line | 223 E 14TH ST SUITE 5
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City | HASTINGS
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State | NE
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Zip | 68901-3200
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Country | US
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Telephone | 402-461-4931
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Fax | 402-461-4932
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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 | 222Z00000X
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Taxonomy Name | Orthotist
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License Number |
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License Number State |
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