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General NPI Number Information
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NPI Number | 1114995180
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Entity Type | Individual
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Provider Name | NAGARAJAN RAMAKRISHNAN MD
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Gender | Male
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 562 SHEARER ST MEDICAL ARTS BLDG SUITE # 203
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City | GREENSBURG
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State | PA
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Zip | 15601-2746
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Country | US
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Telephone | 724-837-1894
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Fax | 724-837-0681
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Provider Business Mailing Address
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Address Line | 416 HOOVER DR
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City | LEWISVILLE
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State | TX
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Zip | 75067-6249
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Country | US
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Telephone | 972-221-9707
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Fax | 724-837-0681
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 058525-L
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License Number State | PA
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Taxonomy #2
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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 | 047014
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License Number State | GA
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