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General NPI Number Information
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NPI Number | 1306084785
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Entity Type | Organization
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Legal Business Name | RAKESH DONTHINENI, M.D., INC
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Dates
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Enumeration Date | 01/23/2009
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Last Update Date | 01/23/2009
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Provider Practice Location Address
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Address Line | 5700 TELEGRAPH AVE
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City | OAKLAND
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State | CA
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Zip | 94609-1710
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Country | US
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Telephone | 510-594-9411
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Fax |
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Provider Business Mailing Address
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Address Line | 5700 TELEGRAPH AVE
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City | OAKLAND
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State | CA
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Zip | 94609-1710
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Country | US
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Telephone | 510-594-9411
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAKESH DONTHINENI
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Credential | M.D.
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Telephone | 510-594-9411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A55666
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License Number State | CA
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