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General NPI Number Information
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NPI Number | 1003932930
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Entity Type | Organization
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Legal Business Name | RAMA L R NANDIPATI M D INC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 01/23/2015
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Provider Practice Location Address
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Address Line | 450 E YOSEMITE AVE STE A
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City | MERCED
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State | CA
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Zip | 95340-8429
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Country | US
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Telephone | 209-725-1112
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Fax | 209-725-1117
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Provider Business Mailing Address
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Address Line | 450 E YOSEMITE AVE STE A
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City | MERCED
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State | CA
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Zip | 95340-8429
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Country | US
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Telephone | 209-725-1112
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Fax | 209-725-1117
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RAMA L. R. NANDIPATI
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Credential | M.D.
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Telephone | 209-725-1112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | A46021
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License Number State | CA
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