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General NPI Number Information
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NPI Number | 1265775944
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Entity Type | Individual
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Provider Name | PRIYA RAJDEV MD
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Gender | Female
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Dates
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Enumeration Date | 04/01/2013
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 1441 N 12TH ST FL 2
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City | PHOENIX
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State | AZ
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Zip | 85006-2837
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Country | US
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Telephone | 602-521-5969
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Fax |
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Provider Business Mailing Address
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Address Line | 74 PINE AVE
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City | OSSINING
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State | NY
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Zip | 10562-3736
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Country | US
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Telephone | 914-393-8224
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 61268
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License Number State | AZ
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