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General NPI Number Information
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NPI Number | 1114973526
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Entity Type | Individual
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Provider Name | NITYA RAMACHANDRAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 02/16/2016
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Provider Practice Location Address
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Address Line | 17810 MEETING HOUSE RD SUITE 150
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City | SANDY SPRING
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State | MD
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Zip | 20860-1038
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Country | US
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Telephone | 240-389-1722
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Fax | 240-389-1746
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Provider Business Mailing Address
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Address Line | 17810 MEETING HOUSE RD STE 150
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City | SANDY SPRING
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State | MD
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Zip | 20860-1047
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Country | US
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Telephone | 240-389-1722
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D0054328
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License Number State | MD
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