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General NPI Number Information
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NPI Number | 1700903564
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Entity Type | Organization
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Legal Business Name | DR P G RAJAN,MD INC
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Dates
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Enumeration Date | 03/24/2007
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Last Update Date | 05/14/2009
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Provider Practice Location Address
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Address Line | 1711 W ROMNEYA DR
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City | ANAHEIM
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State | CA
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Zip | 92801-1804
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Country | US
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Telephone | 714-832-7642
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Fax | 714-832-7308
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Provider Business Mailing Address
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Address Line | 1711 W ROMNEYA DR
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City | ANAHEIM
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State | CA
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Zip | 92801-1804
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Country | US
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Telephone | 714-491-3900
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Fax | 714-491-9329
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Authorized Official
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Title or Position | A/R MANAGER
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Name | MRS. GAIL FRANCES KUHN
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Credential |
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Telephone | 714-832-7642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A30073
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License Number State | CA
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