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General NPI Number Information
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NPI Number | 1083986533
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Entity Type | Individual
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Provider Name | RAMAKIRAN VENKATA CHAVALI B.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/30/2012
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Last Update Date | 01/07/2013
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Provider Practice Location Address
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Address Line | 127 CAHABA RIVER PARC
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City | BIRMINGHAM
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State | AL
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Zip | 35243-3250
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Country | US
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Telephone | 205-514-5667
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Fax |
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Provider Business Mailing Address
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Address Line | SDB 603 1919 7TH AVE S UNIVERSITY OF ALABAMA BIRMINGHAM SCHOOL OF DENTISTRY
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City | BIRMINGHAM
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State | AL
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Zip | 35294-0001
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Country | US
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Telephone | 205-975-9722
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Fax | 205-975-4747
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 27371
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License Number State | TX
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