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General NPI Number Information
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NPI Number | 1639176803
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Entity Type | Individual
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Provider Name | RAJ P TERKONDA MD
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Gender | Male
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Dates
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Enumeration Date | 07/03/2005
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 3003 E 3RD AVE STE 206
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City | DENVER
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State | CO
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Zip | 80206-5120
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Country | US
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Telephone | 303-224-4711
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Fax |
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Provider Business Mailing Address
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Address Line | 6801 S YOSEMITE ST
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City | CENTENNIAL
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State | CO
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Zip | 80112-1406
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Country | US
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Telephone | 303-209-1819
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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 | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | G81638
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License Number State | CA
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