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General NPI Number Information
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NPI Number | 1659603462
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Entity Type | Organization
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Legal Business Name | NIRAJ K. PRASAD, M.D., P.C.
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Dates
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Enumeration Date | 02/03/2010
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Last Update Date | 11/04/2010
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Provider Practice Location Address
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Address Line | 608 NW 9TH ST SUITE 4000
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City | OKLAHOMA CITY
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State | OK
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Zip | 73102-1068
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Country | US
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Telephone | 405-272-6300
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Fax | 405-231-8745
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Provider Business Mailing Address
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Address Line | 608 NW 9TH ST SUITE 4000
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City | OKLAHOMA CITY
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State | OK
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Zip | 73102-1068
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Country | US
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Telephone | 405-272-6300
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Fax | 405-231-8745
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Authorized Official
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Title or Position | OWNER
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Name | NIRAJ K PRASAD
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Credential | M.D.
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Telephone | 405-272-6300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 21035
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License Number State | OK
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