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General NPI Number Information
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NPI Number | 1316965403
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Entity Type | Individual
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Provider Name | RAJANIKANT P PANDYA M.D
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | PREFERRED MEDICAL CENTER 1200 ANDREWS HIGHWAY
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City | MIDLAND
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State | TX
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Zip | 79701
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Country | US
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Telephone | 432-520-5678
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Fax | 432-520-3684
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Provider Business Mailing Address
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Address Line | 22 PINON CT
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City | ODESSA
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State | TX
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Zip | 79765-8570
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Country | US
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Telephone | 432-520-5678
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Fax | 432-520-3684
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | J7619
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License Number State | TX
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