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NPI 1417993940

NPI 1417993940 : CHRISTOPHER G RAO MD : STUART, FL

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General NPI Number Information
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    NPI Number           |    1417993940
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER G RAO MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/22/2006
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    Last Update Date     |    01/03/2025
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Provider Practice Location Address
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    Address Line         |    528 SE OSCEOLA ST STE 2 
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    City                 |    STUART
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    State                |    FL
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    Zip                  |    34994-2366
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    Country              |    US
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    Telephone            |    772-286-0226
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6 FIELDWAY DR 
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    City                 |    STUART
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    State                |    FL
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    Zip                  |    34996-6619
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    Country              |    US
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    Telephone            |    772-475-3163
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    Fax                  |    772-877-0395
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    ME0064920
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    License Number State |    FL
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