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General NPI Number Information
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NPI Number | 1104319698
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Entity Type | Organization
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Legal Business Name | CAPITAL CRITICAL CARE & INFORMATICS PC
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Dates
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Enumeration Date | 06/11/2018
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Last Update Date | 12/01/2020
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Provider Practice Location Address
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Address Line | 4320 SEMINARY RD
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City | ALEXANDRIA
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State | VA
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Zip | 22304-1535
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Country | US
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Telephone | 703-504-3000
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Fax | 571-285-0027
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Provider Business Mailing Address
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Address Line | 2776 S ARLINGTON MILL DR # 103
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City | ARLINGTON
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State | VA
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Zip | 22206-3402
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Country | US
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Telephone | 571-308-6768
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Fax | 571-285-0027
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MADHUSUDANAN RAMASWAMY
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Credential | MD
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Telephone | 571-308-6768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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