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General NPI Number Information
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NPI Number | 1427013200
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Entity Type | Individual
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Provider Name | BRUCE WILLIAM RAJALA D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/17/2006
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Last Update Date | 04/13/2016
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Provider Practice Location Address
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Address Line | 5236 W UNIVERSITY DR SUITE 3700
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City | MCKINNEY
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State | TX
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Zip | 75071-7889
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Country | US
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Telephone | 214-491-6070
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Fax | 214-491-6084
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Provider Business Mailing Address
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Address Line | PO BOX 1510
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City | MCKINNEY
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State | TX
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Zip | 75070-8154
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Country | US
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Telephone | 972-747-4848
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Fax | 972-747-4949
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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 | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | H5352
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License Number State | TX
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