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General NPI Number Information
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NPI Number | 1356401848
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Entity Type | Individual
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Provider Name | MURUGA RAJ MD
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Gender | Male
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 06/30/2011
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Provider Practice Location Address
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Address Line | 4915 BROADWAY STE 1-K
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City | NEW YORK
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State | NY
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Zip | 10034-3119
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Country | US
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Telephone | 212-543-2500
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Fax | 212-543-2503
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Provider Business Mailing Address
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Address Line | 1665 GRAND CONCOURSE
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City | BRONX
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State | NY
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Zip | 10452
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Country | US
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Telephone | 718-299-0400
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Fax | 718-716-0133
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 200340
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License Number State | NY
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