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General NPI Number Information
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NPI Number | 1245531151
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Entity Type | Individual
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Provider Name | RAJAN PRAKASH MD MPH
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Gender | Male
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Dates
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Enumeration Date | 11/09/2010
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Last Update Date | 01/25/2017
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Provider Practice Location Address
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Address Line | 234 GOODMAN ST HOSPITALIST ML 670
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City | CINCINNATI
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State | OH
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Zip | 45219-2364
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Country | US
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Telephone | 513-584-7545
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Fax | 513-584-0851
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Provider Business Mailing Address
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Address Line | 2830 VICTORY PKWY
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City | CINCINNATI
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State | OH
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Zip | 45206-1785
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Country | US
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Telephone | 513-585-5504
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Fax | 513-584-0851
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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 | 35-098699
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 35-098699
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License Number State | OH
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