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General NPI Number Information
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NPI Number | 1386723955
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Entity Type | Individual
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Provider Name | RAJGOPAL R PAKANATI MD
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Gender | Male
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 08/15/2016
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Provider Practice Location Address
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Address Line | 300 E CROCKETT ST
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City | CLEVELAND
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State | TX
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Zip | 77327-4029
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Country | US
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Telephone | 660-826-5960
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Fax | 660-826-4852
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Provider Business Mailing Address
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Address Line | 74 N BERRYLINE CIR
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City | THE WOODLANDS
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State | TX
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Zip | 77381-4816
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Country | US
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Telephone | 832-654-5533
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | K3376
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License Number State | TX
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