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General NPI Number Information
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NPI Number | 1306259742
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Entity Type | Organization
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Legal Business Name | RAHUL PATRI MD PLLC
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Dates
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Enumeration Date | 06/03/2014
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Last Update Date | 10/07/2014
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Provider Practice Location Address
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Address Line | 3345 PLAZA 10 DR STE E
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City | BEAUMONT
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State | TX
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Zip | 77707-2554
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Country | US
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Telephone | 409-838-2626
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Fax |
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Provider Business Mailing Address
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Address Line | 3345 PLAZA 10 DR STE E
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City | BEAUMONT
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State | TX
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Zip | 77707-2554
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Country | US
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Telephone | 409-838-2626
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Fax |
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Authorized Official
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Title or Position | OFFICER/OWNER
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Name | DR. RAHUL PATRI
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Credential | MD
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Telephone | 409-838-2626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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