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General NPI Number Information
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NPI Number | 1295062214
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Entity Type | Organization
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Legal Business Name | RACHNA RAWAL MD INC
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Dates
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Enumeration Date | 11/12/2009
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Last Update Date | 11/12/2009
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Provider Practice Location Address
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Address Line | 12675 LA MIRADA BLVD STE 200
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City | LA MIRADA
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State | CA
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Zip | 90638-2200
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Country | US
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Telephone | 562-944-8054
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Fax | 562-946-5324
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Provider Business Mailing Address
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Address Line | 12675 LA MIRADA BLVD STE 200
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City | LA MIRADA
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State | CA
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Zip | 90638-2200
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Country | US
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Telephone | 562-944-8054
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Fax | 562-946-5324
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. RACHNA RAWAL
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Credential | MD
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Telephone | 562-944-8054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A82575
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License Number State | CA
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