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General NPI Number Information
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NPI Number | 1982990917
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Entity Type | Organization
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Legal Business Name | RAJ AHLUWALIA MD INC
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Dates
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Enumeration Date | 06/28/2011
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Last Update Date | 06/28/2011
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Provider Practice Location Address
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Address Line | 14860 ROSCOE BLVD 300
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City | PANORAMA CITY
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State | CA
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Zip | 91402-4665
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Country | US
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Telephone | 310-779-6122
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Fax |
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Provider Business Mailing Address
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Address Line | 8306 WILSHIRE BLVD 7054
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2382
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Country | US
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Telephone | 310-779-6122
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAJ AHLUWALIA
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Credential | M.D.
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Telephone | 310-779-6122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A96910
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License Number State | CA
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