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General NPI Number Information
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NPI Number | 1669838512
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Entity Type | Organization
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Legal Business Name | DOGRA HEALTH
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Dates
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Enumeration Date | 01/07/2016
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Last Update Date | 01/07/2016
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Provider Practice Location Address
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Address Line | 2 POMONA W # 9
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City | PIKESVILLE
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State | MD
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Zip | 21208-2849
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Country | US
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Telephone | 410-864-8193
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Fax |
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Provider Business Mailing Address
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Address Line | 2 POMONA W # 9
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City | PIKESVILLE
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State | MD
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Zip | 21208-2849
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Country | US
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Telephone | 410-864-8193
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MISS JIGISHA RATHOD
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Credential |
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Telephone | 410-972-6610
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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 | D0078125
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License Number State | MD
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