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General NPI Number Information
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NPI Number | 1609000447
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Entity Type | Organization
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Legal Business Name | SURESH RAHEJA M.D PA
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Dates
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Enumeration Date | 05/07/2009
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Last Update Date | 02/26/2010
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Provider Practice Location Address
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Address Line | 3430 W WHEATLAND RD 118
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City | DALLAS
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State | TX
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Zip | 75237-3446
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Country | US
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Telephone | 972-709-7766
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Fax |
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Provider Business Mailing Address
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Address Line | 3430 W WHEATLAND RD 118
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City | DALLAS
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State | TX
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Zip | 75237-3446
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Country | US
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Telephone | 972-709-7766
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SURESH RAHEJA
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Credential | M.D.
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Telephone | 972-709-7766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | H7485
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License Number State | TX
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