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General NPI Number Information
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NPI Number | 1144355918
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Entity Type | Individual
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Provider Name | NILIMA MANUDHANE RAGAVAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 750 WELCH RD SUITE 315
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City | PALO ALTO
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State | CA
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Zip | 94304-1507
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Country | US
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Telephone | 650-723-5711
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Fax | 650-482-6107
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Provider Business Mailing Address
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Address Line | 41 VALENCIA CT
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City | PORTOLA VALLEY
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State | CA
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Zip | 94028-7923
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Country | US
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Telephone | 650-529-0889
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Fax | 650-529-0885
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | A45370
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License Number State | CA
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