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General NPI Number Information
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NPI Number | 1801859988
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Entity Type | Individual
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Provider Name | RAJ B UTTAMCHANDANI MD
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Gender | Male
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 07/10/2014
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Provider Practice Location Address
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Address Line | 7000 SW 62ND AVE SUITE 320
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4716
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Country | US
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Telephone | 305-740-6071
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Fax | 305-740-9623
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Provider Business Mailing Address
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Address Line | 7000 SW 62ND AVE SUITE 320
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4716
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Country | US
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Telephone | 305-740-6071
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Fax | 305-740-9623
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | ME0046616
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License Number State | FL
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