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General NPI Number Information
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NPI Number | 1780824656
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Entity Type | Organization
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Legal Business Name | RAJEN MANIAR CARDIOLOGY PC
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Dates
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Enumeration Date | 03/04/2009
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Last Update Date | 03/05/2009
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Provider Practice Location Address
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Address Line | 13847 HORACE HARDING EXPY
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City | FLUSHING
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State | NY
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Zip | 11367-1131
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Country | US
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Telephone | 718-321-7848
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Fax | 718-321-7830
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Provider Business Mailing Address
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Address Line | 138-47, HORACE HARDING EXPRESSWAY
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City | FLUSHING
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State | NY
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Zip | 11367
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Country | US
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Telephone | 718-321-7848
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Fax | 718-321-7830
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAJEN MANIAR
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Credential | M.D
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Telephone | 718-321-7848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 238838
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License Number State | NY
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