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NPI 1497869036

NPI 1497869036 : DALEEP KARAN RATHORE MD : BRIDGEVILLE, PA

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General NPI Number Information
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    NPI Number           |    1497869036
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    Entity Type          |    Individual 
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    Provider Name        |    DALEEP KARAN RATHORE MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/19/2006
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    Last Update Date     |    12/12/2007
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Provider Practice Location Address
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    Address Line         |    1601 MAYVIEW RD 
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    City                 |    BRIDGEVILLE
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    State                |    PA
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    Zip                  |    15017-1547
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    Country              |    US
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    Telephone            |    412-257-6500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1785 PARTRIDGE RUN RD 
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15241-2823
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    Country              |    US
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    Telephone            |    412-854-3313
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    MD053698L
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    License Number State |    PA
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