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General NPI Number Information
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NPI Number | 1487224192
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Entity Type | Individual
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Provider Name | NAVNEET RAJAN CCRN
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Gender | Male
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Dates
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Enumeration Date | 06/26/2021
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Last Update Date | 06/26/2021
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Provider Practice Location Address
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Address Line | 20 E RIVER PARK PL W
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City | FRESNO
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State | CA
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Zip | 93720-1551
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Country | US
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Telephone | 559-256-4950
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 QUARTERMASTER CANYON RD
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City | SAN RAMON
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State | CA
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Zip | 94582-4845
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Country | US
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Telephone | 310-463-7827
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 95161916
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License Number State | CA
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