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General NPI Number Information
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NPI Number | 1780989863
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Entity Type | Individual
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Provider Name | MAHADEVAN RAJARAM MBBS, FACC
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Gender | Male
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Dates
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Enumeration Date | 01/20/2011
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Last Update Date | 01/20/2011
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Provider Practice Location Address
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Address Line | 1285 SANDY LANE APT.109
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City | SARNIA
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State | ONTARIO
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Zip | N7V4J7
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Country | CA
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Telephone | 289-887-4801
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Fax |
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Provider Business Mailing Address
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Address Line | 1285 SANDY LANE APT.109
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City | SARNIA
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State | ONTARIO
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Zip | N7V4J7
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Country | CA
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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 | D71366
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License Number State | MD
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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 | D71366
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License Number State | MD
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