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General NPI Number Information
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NPI Number | 1013011170
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Entity Type | Individual
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Provider Name | THANGARAJ AMARAN MD
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Gender | Male
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 950 SOUTH MAIN ST SUITE 5
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City | CELINA
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State | OH
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Zip | 45822
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Country | US
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Telephone | 419-586-6899
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Fax | 419-586-6799
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Provider Business Mailing Address
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Address Line | 950 SOUTH MAIN ST SUITE 5
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City | CELINA
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State | OH
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Zip | 45822
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Country | US
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Telephone | 419-586-6899
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Fax | 419-586-6799
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 35046061A
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License Number State | OH
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