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General NPI Number Information
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NPI Number | 1487841482
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Entity Type | Individual
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Provider Name | RAJANI RUDRANGI MD
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Gender | Female
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | 500 W HOSPITAL RD
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City | FRENCH CAMP
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State | CA
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Zip | 95231-9693
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Country | US
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Telephone | 209-468-6820
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Fax | 209-468-6103
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Provider Business Mailing Address
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Address Line | P.O. BOX 1020
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City | STOCKTON
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State | CA
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Zip | 95201-1020
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Country | US
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Telephone |
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | BP1-0048489
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A109478
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License Number State | CA
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