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General NPI Number Information
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NPI Number | 1962600809
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Entity Type | Organization
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Legal Business Name | SAM E RAJIAH M D INC
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 07/21/2010
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Provider Practice Location Address
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Address Line | 3918 CLOCK POINTE TRL SUITE 102
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City | STOW
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State | OH
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Zip | 44224-2989
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Country | US
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Telephone | 330-923-7300
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Fax | 330-923-7301
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Provider Business Mailing Address
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Address Line | 3918 CLOCK POINTE TRL SUITE 102
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City | STOW
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State | OH
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Zip | 44224-2989
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Country | US
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Telephone | 330-923-7300
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Fax | 330-923-7301
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Authorized Official
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Title or Position | PRES.
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Name | DR. SAM E. RAJIAH
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Credential | M.D.
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Telephone | 330-923-7300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 035724
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License Number State | OH
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