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General NPI Number Information
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NPI Number | 1972570232
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Entity Type | Individual
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Provider Name | RAJA RAJESWARA RAO PALADUGU M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 07/15/2024
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Provider Practice Location Address
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Address Line | 1370 W D ST
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City | NORTH WILKESBORO
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State | NC
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Zip | 28659-3506
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Country | US
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Telephone | 336-651-8100
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Fax | 336-716-0030
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Provider Business Mailing Address
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Address Line | MEDICAL CENTER BLVD
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City | WINSTON SALEM
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State | NC
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Zip | 27157-0001
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Country | US
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Telephone | 336-651-8100
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Fax | 336-716-0030
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 19254
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 19254
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 200300274
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License Number State | NC
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