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General NPI Number Information
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NPI Number | 1679106025
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Entity Type | Organization
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Legal Business Name | RAJENDER S. THAKRAN, M.D., INC
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Dates
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Enumeration Date | 02/13/2020
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Last Update Date | 02/13/2020
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Provider Practice Location Address
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Address Line | 16030 KAMANA RD
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City | APPLE VALLEY
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State | CA
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Zip | 92307
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Country | US
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Telephone | 760-617-7718
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Fax |
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Provider Business Mailing Address
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Address Line | 14782 KANAI RD
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City | APPLE VALLEY
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State | CA
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Zip | 92307
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAJENDER S THAKRAN
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Credential | MD
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Telephone | 760-617-7718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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