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General NPI Number Information
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NPI Number | 1295025591
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Entity Type | Organization
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Legal Business Name | DIANAND RAJIGADOO
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Dates
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Enumeration Date | 04/08/2011
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Last Update Date | 04/08/2011
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Provider Practice Location Address
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Address Line | 1020 CHELSEA PARC DR
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City | MINNEOLA
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State | FL
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Zip | 34715-8160
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Country | US
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Telephone | 352-321-2705
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Fax | 352-394-4005
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Provider Business Mailing Address
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Address Line | 1020 CHELSEA PARC DR
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City | MINNEOLA
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State | FL
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Zip | 34715-8160
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Country | US
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Telephone | 352-321-2705
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Fax | 352-394-4005
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Authorized Official
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Title or Position | PROVIDER
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Name | MR. DIANAND RAJIGADOO
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Credential |
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Telephone | 352-321-2705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State | FL
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