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General NPI Number Information
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NPI Number | 1689927139
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Entity Type | Organization
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Legal Business Name | RAKESH DONTHINENI, M.D. INC.
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Dates
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Enumeration Date | 10/22/2012
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Last Update Date | 11/04/2012
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Provider Practice Location Address
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Address Line | 5700 TELEGRAPH AVE SUITE 100
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City | OAKLAND
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State | CA
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Zip | 94609-1710
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Country | US
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Telephone | 510-594-9411
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Fax | 510-594-2275
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Provider Business Mailing Address
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Address Line | 5700 TELEGRAPH AVE SUITE 100
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City | OAKLAND
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State | CA
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Zip | 94609-1710
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Country | US
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Telephone | 510-594-9411
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Fax | 510-594-2275
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Authorized Official
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Title or Position | PHYSICIAN
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Name | RAKESH DONTHINENI
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Credential | M.D.
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Telephone | 510-594-9411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 3691195
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License Number State | CA
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