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General NPI Number Information
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NPI Number | 1942361209
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Entity Type | Individual
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Provider Name | RAJAT BANNERJI M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 08/27/2012
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Provider Practice Location Address
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Address Line | 195 LITTLE ALBANY ST
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1914
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Country | US
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Telephone | 732-235-7996
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Fax |
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Provider Business Mailing Address
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Address Line | 195 LITTLE ALBANY ST
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1914
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Country | US
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Telephone | 732-235-7996
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD065084L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 241651
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 25MA08172200
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License Number State | NJ
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