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General NPI Number Information
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NPI Number | 1356541338
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Entity Type | Individual
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Provider Name | RAJ ANAND MITTAL M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 01/07/2024
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Provider Practice Location Address
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Address Line | 4305 TORRANCE BLVD STE 109
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City | TORRANCE
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State | CA
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Zip | 90503-4421
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Country | US
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Telephone | 310-539-2630
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Fax | 310-539-9785
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Provider Business Mailing Address
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Address Line | 4305 TORRANCE BLVD STE 109
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City | TORRANCE
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State | CA
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Zip | 90503-4421
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Country | US
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Telephone | 310-539-2630
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Fax | 310-539-9785
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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 | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | 267275
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 233712
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A123128
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License Number State | CA
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