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General NPI Number Information
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NPI Number | 1659503118
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Entity Type | Individual
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Provider Name | VENKATA RAJESH KONJETI M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2009
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Last Update Date | 07/08/2024
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Provider Practice Location Address
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Address Line | 740 S LIMESTONE STE D201
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City | LEXINGTON
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State | KY
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Zip | 40536-5051
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Country | US
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Telephone | 859-323-0079
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Fax | 859-323-8173
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Provider Business Mailing Address
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Address Line | 800 ROSE ST
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City | LEXINGTON
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State | KY
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Zip | 40536-7001
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Country | US
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Telephone | 859-257-1000
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101260498
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RT0003X
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Taxonomy Name | Transplant Hepatology Physician
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License Number | 54038
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 54038
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License Number State | KY
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