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General NPI Number Information
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NPI Number | 1366621906
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Entity Type | Organization
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Legal Business Name | SANJAI C. RAO D.O., INC.
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 07/20/2012
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Provider Practice Location Address
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Address Line | 3521 SILVERSIDE RD QUILLEN BLDG, SUITE 2I-2
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City | WILMINGTON
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State | DE
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Zip | 19810-4900
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Country | US
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Telephone | 302-477-0121
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Fax | 302-477-0223
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Provider Business Mailing Address
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Address Line | 3521 SILVERSIDE RD QUILLEN BLDG, SUITE 2I-2
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City | WILMINGTON
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State | DE
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Zip | 19810-4900
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Country | US
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Telephone | 302-477-0121
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Fax | 302-477-0223
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Authorized Official
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Title or Position | OWNER
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Name | DR. SANJAI CHAMKUR RAO
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Credential | D.O.
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Telephone | 302-477-0121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | C20007700
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License Number State | DE
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