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General NPI Number Information
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NPI Number | 1336133156
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Entity Type | Individual
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Provider Name | RAJEE PAUL M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/08/2005
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Last Update Date | 03/01/2010
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Provider Practice Location Address
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Address Line | 1045 N COURTENAY PKWY
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-4531
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Country | US
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Telephone | 321-453-3937
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Fax | 321-452-5404
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Provider Business Mailing Address
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Address Line | 1045 N COURTENAY PKWY
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-4531
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Country | US
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Telephone | 321-453-3937
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Fax | 321-452-5404
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME95111
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License Number State | FL
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