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General NPI Number Information
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NPI Number | 1740543396
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Entity Type | Individual
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Provider Name | RAJAN SENGUTTUVAN M.D
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Gender | Male
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Dates
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Enumeration Date | 06/19/2012
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 3533 S ALAMEDA ST
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-1721
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Country | US
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Telephone | 361-694-4864
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Fax |
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Provider Business Mailing Address
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Address Line | 3533 S ALAMEDA ST
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-1721
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Country | US
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Telephone | 313-745-4405
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Fax | 313-966-0665
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | S0561
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | SO561
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License Number State | TX
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