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General NPI Number Information
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NPI Number | 1477888204
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Entity Type | Individual
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Provider Name | RAJA SHAIKH M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/13/2009
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Last Update Date | 12/28/2009
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Provider Practice Location Address
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Address Line | 4301 W MARKHAM ST DEPT OF SLOT #556,UNIVERSITY OF ARKANSAS FOR MEIDCAL SCIENCES
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City | LITTLE ROCK
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State | AR
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Zip | 72205-7101
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Country | US
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Telephone | 501-526-7406
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Fax | 501-526-7408
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Provider Business Mailing Address
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Address Line | 13500 CHENAL PKWY APT # 1101
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City | LITTLE ROCK
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State | AR
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Zip | 72211-5389
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Country | US
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Telephone | 501-366-7274
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Fax | 501-526-7408
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | E-6286
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License Number State | AR
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