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General NPI Number Information
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NPI Number | 1790889228
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Entity Type | Organization
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Legal Business Name | ROOPA RAO, M.D., INC.
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 02/04/2008
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Provider Practice Location Address
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Address Line | 1687 ERRINGER RD SUITE 107
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City | SIMI VALLEY
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State | CA
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Zip | 93065-6508
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Country | US
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Telephone | 805-526-6135
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Fax | 805-583-5139
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Provider Business Mailing Address
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Address Line | 1687 ERRINGER RD SUITE 107
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City | SIMI VALLEY
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State | CA
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Zip | 93065-6508
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Country | US
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Telephone | 805-526-6135
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Fax | 805-583-5139
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Authorized Official
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Title or Position | PHYSICIAN/ OWNER
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Name | ROOPA ROHINI RAO- KARLAMANGLA
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Credential | M.D.
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Telephone | 805-526-6135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G083232
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License Number State | CA
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