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General NPI Number Information
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NPI Number | 1770438731
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Entity Type | Individual
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Provider Name | JAGEN RAJ RAJAH PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 1000 PELHAM PKWY S
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City | BRONX
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State | NY
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Zip | 10461-1003
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Country | US
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Telephone | 201-918-0394
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Fax |
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Provider Business Mailing Address
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Address Line | 2120 CRUGER AVE APT 4C
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City | BRONX
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State | NY
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Zip | 10462-2337
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Country | US
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Telephone | 201-918-0394
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 051550
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License Number State | NY
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