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General NPI Number Information
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NPI Number | 1760868566
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Entity Type | Organization
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Legal Business Name | RAJESH K JARI LLC
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 08/04/2015
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Provider Practice Location Address
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Address Line | 8100 SANDPIPER CIR SUITE 214
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City | NOTTINGHAM
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State | MD
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Zip | 21236-4991
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Country | US
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Telephone | 443-693-7246
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Fax | 866-442-5401
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Provider Business Mailing Address
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Address Line | 517 WHITHORN CT
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City | LUTHERVILLE
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State | MD
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Zip | 21093-7026
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Country | US
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Telephone | 443-693-7246
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Fax | 866-442-5401
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Authorized Official
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Title or Position | CEO
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Name | RAJESH K JARI
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Credential | M.D.
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Telephone | 443-693-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | D0071315
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License Number State | MD
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