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General NPI Number Information
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NPI Number | 1063070415
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Entity Type | Individual
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Provider Name | RAMYA RAMACHANDRAN
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Gender | Female
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Dates
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Enumeration Date | 05/31/2019
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 1625 N CAMPBELL AVE
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City | TUCSON
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State | AZ
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Zip | 85719-4330
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Country | US
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Telephone | 682-509-3043
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Fax |
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Provider Business Mailing Address
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Address Line | 3301 MATLOCK RD
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City | ARLINGTON
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State | TX
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Zip | 76015-2908
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Country | US
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Telephone | 682-509-3043
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0016033125
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | BP10075432
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 011224
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License Number State | AZ
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