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General NPI Number Information
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NPI Number | 1336386416
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Entity Type | Organization
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Legal Business Name | RAKESH DONTHINENI MD, INCORPORATED
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Dates
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Enumeration Date | 01/12/2009
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Last Update Date | 01/12/2009
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Provider Practice Location Address
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Address Line | 5700 TELEGRAPH AVE SUITE 100
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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 | 510-594-2275
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Provider Business Mailing Address
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Address Line | 3466 MT DIABLO BLVD C207
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City | LAFAYETTE
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State | CA
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Zip | 94549-7106
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Country | US
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Telephone | 510-594-9411
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Fax | 510-594-2275
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MISS TRINA JOHNSON
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Credential |
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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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