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General NPI Number Information
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NPI Number | 1962504126
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Entity Type | Individual
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Provider Name | RAJAT SOOD MD
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Gender | Male
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 07/13/2021
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Provider Practice Location Address
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Address Line | 2839 SAINT ROSE PKWY STE 130
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City | HENDERSON
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State | NV
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Zip | 89052-4849
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Country | US
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Telephone | 702-558-4027
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Fax | 702-558-4028
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Provider Business Mailing Address
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Address Line | 2654 W HORIZON RIDGE PKWY B-5 #167
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City | HENDERSON
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State | NV
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Zip | 89052-2803
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Country | US
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Telephone | 702-558-4027
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Fax | 702-558-4028
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 8145
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License Number State | NV
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