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General NPI Number Information
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NPI Number | 1629718895
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Entity Type | Individual
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Provider Name | PREETHI RAJU DO
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Gender | Female
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Dates
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Enumeration Date | 03/29/2022
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 704 PAREDES LINE RD STE A
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City | BROWNSVILLE
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State | TX
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Zip | 78521-7931
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Country | US
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Telephone | 956-831-7111
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Fax |
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Provider Business Mailing Address
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Address Line | 1304 TESORO AVE
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City | RANCHO VIEJO
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State | TX
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Zip | 78575-9701
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Country | US
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Telephone | 956-459-4965
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | U9642
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License Number State | TX
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