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General NPI Number Information
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NPI Number | 1073954244
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Entity Type | Individual
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Provider Name | NANDINI YASHWANTI RAMROOP M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/16/2013
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Last Update Date | 07/16/2013
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Provider Practice Location Address
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Address Line | 2055 E SOUTH BLVD SUITE 308
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City | MONTGOMERY
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State | AL
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Zip | 36116-2001
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Country | US
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Telephone | 334-286-2390
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Fax | 334-286-2397
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Provider Business Mailing Address
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Address Line | 301 BROWN SPRINGS RD ATT: PROVIDER ENROLLMENT
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City | MONTGOMERY
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State | AL
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Zip | 36117-7005
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Country | US
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Telephone | 334-273-4508
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Fax | 334-273-4290
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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 | 3358R
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License Number State | AL
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