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Emily Tara Rajan

Student in an Organized Health Care Education/Training Program in Opelika, AL. Individual provider (NPI-1).

NPI number1164052676
StatusActive
Last updated in NPPESJan 23, 2020

Details

NPI
1164052676
Entity type
Individual (NPI-1)
Name
Emily Tara Rajan
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 23, 2020
Certification date
Jan 23, 2020
Last updated
Jan 23, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training ProgramS12766ALYes

Practice location

311 N 9th St
Opelika, AL 36801-4259

Phone 334-740-9878

Mailing address

311 N 9th St
Opelika, AL 36801-4259

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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