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General NPI Number Information
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NPI Number | 1396063616
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Entity Type | Organization
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Legal Business Name | DR RAJESH S RANA MD PA
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Dates
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Enumeration Date | 05/11/2010
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Last Update Date | 05/18/2012
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Provider Practice Location Address
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Address Line | 18601 LBJ FWY SUITE 320
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City | MESQUITE
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State | TX
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Zip | 75150-5600
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Country | US
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Telephone | 972-681-6401
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Fax | 972-681-2515
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Provider Business Mailing Address
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Address Line | 18601 LBJ FWY SUITE 320
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City | MESQUITE
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State | TX
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Zip | 75150-5600
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Country | US
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Telephone | 972-681-6401
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Fax | 972-681-2515
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAJESH S RANA
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Credential | M.D.
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Telephone | 972-681-6401
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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 | J4667
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License Number State | TX
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