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General NPI Number Information
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NPI Number | 1669672564
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Entity Type | Organization
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Legal Business Name | RAJ P RAJANI, MD, INC.
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 07/19/2007
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Provider Practice Location Address
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Address Line | 1107 S ANAHEIM BLVD
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City | ANAHEIM
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State | CA
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Zip | 92805-5811
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Country | US
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Telephone | 171-472-0375
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Fax | 171-428-4042
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Provider Business Mailing Address
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Address Line | PO BOX 631
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City | WALNUT
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State | CA
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Zip | 91788-0631
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Country | US
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Telephone | 171-472-0375
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Fax | 171-428-4042
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Authorized Official
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Title or Position | OWENER
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Name | DR. RAJ PARSRAM RAJANI
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Credential | M.D.
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Telephone | 17147203750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A42580
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License Number State | CA
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