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General NPI Number Information
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NPI Number | 1730193079
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Entity Type | Individual
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Provider Name | RAJIV MARAJ M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 315 MERCY AVE STE 400
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City | MERCED
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State | CA
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Zip | 95340-8368
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Country | US
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Telephone | 209-564-3700
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Fax | 209-564-3799
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Provider Business Mailing Address
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Address Line | 3400 DATA DR ATTENTION: CREDENTIALING AND PAYER ENROLLMENT DEPT
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670
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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 |
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Name |
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Credential |
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Telephone |
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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 | A78653
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A78653
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License Number State | CA
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