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General NPI Number Information
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NPI Number | 1104558154
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Entity Type | Individual
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Provider Name | SOUMIYA RAVI
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Gender | Female
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Dates
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Enumeration Date | 06/28/2022
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | CHRISTIANA CARE HEALTH SERVICES 4755 OGLETOWN-STANTON ROAD, E TOWER, ROOM-2875
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City | NEWARK
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State | DE
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Zip | 19718
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Country | US
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Telephone | 302-733-1882
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Fax | 302-733-1103
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Provider Business Mailing Address
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Address Line | CHRISTIANA CARE HEALTH SERVICES 4755 OGLETOWN-STANTON ROAD, E TOWER, ROOM-2875
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City | NEWARK
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State | DE
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Zip | 19718
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Country | US
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Telephone | 302-733-1882
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Fax | 302-733-1103
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | C7-0018930
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License Number State | DE
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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 | R79327
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License Number State | AZ
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