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General NPI Number Information
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NPI Number | 1346325651
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Entity Type | Organization
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Legal Business Name | RJ HEALTHCARE
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3610 SOUTHERN BLVD
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City | YOUNGSTOWN
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State | OH
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Zip | 44507-2047
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Country | US
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Telephone | 330-781-0046
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Fax | 330-788-2124
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Provider Business Mailing Address
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Address Line | 3330 FLO LOR DR 11D
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City | YOUNGSTOWN
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State | OH
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Zip | 44511-4712
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Country | US
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Telephone | 330-781-0046
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Fax | 330-788-2124
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. BHAGWAN DASS
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Credential | MD
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Telephone | 330-781-0086
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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 |
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License Number State |
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