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General NPI Number Information
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NPI Number | 1992864177
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Entity Type | Individual
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Provider Name | RAJ PRATAP MATHUR MD
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Gender | Male
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 106 IRVING ST NW STE 211
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City | WASHINGTON
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State | DC
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Zip | 20010-2993
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Country | US
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Telephone | 202-722-0149
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Fax |
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Provider Business Mailing Address
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Address Line | 10218 YEARLING DR
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City | ROCKVILLE
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State | MD
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Zip | 20850-3548
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Country | US
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Telephone | 240-252-4008
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 0101054105
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | D0042403
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | MD19927
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License Number State | DC
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