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General NPI Number Information
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NPI Number | 1881918407
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Entity Type | Organization
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Legal Business Name | R V DALUVOY MD INC
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Dates
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Enumeration Date | 03/25/2010
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 15982 QUANTICO RD STE D
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City | APPLE VALLEY
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State | CA
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Zip | 92307-1382
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Country | US
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Telephone | 760-810-0920
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Fax | 760-515-6044
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Provider Business Mailing Address
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Address Line | 15982 QUANTICO RD STE D
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City | APPLE VALLEY
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State | CA
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Zip | 92307-1382
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Country | US
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Telephone | 760-810-0920
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Fax | 760-515-6044
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Authorized Official
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Title or Position | DOCTOR
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Name | RAO VENKATESWARA DALUVOY
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Credential | MD
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Telephone | 760-810-0920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | A322690
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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