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General NPI Number Information
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NPI Number | 1265271050
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Entity Type | Individual
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Provider Name | RAHEL MALU
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Gender | Female
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Dates
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Enumeration Date | 05/21/2024
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 9932 TED KOLB WAY
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City | ELK GROVE
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State | CA
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Zip | 95624-5097
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Country | US
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Telephone | 310-531-0775
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Fax |
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Provider Business Mailing Address
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Address Line | 9932 TED KOLB WAY
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City | ELK GROVE
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State | CA
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Zip | 95624-5097
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Country | US
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Telephone | 310-531-0775
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Fax |
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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 | 2471S1302X
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Taxonomy Name | Sonography Radiologic Technologist
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License Number | 152360
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License Number State | CA
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