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General NPI Number Information
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NPI Number | 1003184078
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Entity Type | Organization
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Legal Business Name | SHARAN RAMPAL MDPA
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Dates
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Enumeration Date | 12/06/2011
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Last Update Date | 12/06/2011
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Provider Practice Location Address
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Address Line | 60 LANDIS AVE
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City | BRIDGETON
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State | NJ
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Zip | 08302-4326
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Country | US
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Telephone | 856-455-6711
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Fax | 856-455-1979
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Provider Business Mailing Address
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Address Line | 60 LANDIS AVE
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City | BRIDGETON
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State | NJ
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Zip | 08302-4326
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Country | US
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Telephone | 856-455-6711
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Fax | 856-455-1979
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Authorized Official
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Title or Position | OWNER
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Name | SHARAN RAMPAL
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Credential | MD
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Telephone | 856-455-6711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 25MA03764800
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License Number State | NJ
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