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General NPI Number Information
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NPI Number | 1356441265
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Entity Type | Individual
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Provider Name | GEETHA P RAO MD
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 719 WEST NYACK ROAD SUITE #30
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City | WEST NYACK
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State | NY
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Zip | 10994-2241
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Country | US
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Telephone | 845-358-9102
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Fax | 845-358-0091
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Provider Business Mailing Address
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Address Line | 719 WEST NYACK ROAD SUITE #30
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City | WEST NYACK
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State | NY
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Zip | 10994-2241
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Country | US
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Telephone | 845-358-9102
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Fax | 845-358-0091
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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 | 145525
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License Number State | NY
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