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General NPI Number Information
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NPI Number | 1902865066
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Entity Type | Individual
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Provider Name | RAJIB DAS PA-C
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Gender | Male
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Dates
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Enumeration Date | 03/18/2006
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 888 N ALTA AVE
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City | DINUBA
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State | CA
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Zip | 93618-3001
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Country | US
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Telephone | 599-797-5755
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Fax | 559-591-6322
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Provider Business Mailing Address
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Address Line | PO BOX 737
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City | SAN JOAQUIN
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State | CA
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Zip | 93660-0737
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Country | US
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Telephone | 559-595-1000
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Fax | 559-591-6322
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA17767
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License Number State | CA
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