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General NPI Number Information
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NPI Number | 1174778872
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Entity Type | Organization
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Legal Business Name | RAMAMURTHY N.ALAM MD,INC
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Dates
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Enumeration Date | 11/21/2008
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Last Update Date | 11/28/2008
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Provider Practice Location Address
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Address Line | 1910 E MARKET ST
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City | WARREN
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State | OH
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Zip | 44483-6618
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Country | US
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Telephone | 330-399-7749
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Fax | 330-399-7836
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Provider Business Mailing Address
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Address Line | 1910 E MARKET ST
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City | WARREN
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State | OH
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Zip | 44483-6618
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Country | US
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Telephone | 330-399-7749
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Fax | 330-399-7836
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Authorized Official
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Title or Position | OWNER
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Name | RAMAMURTHY N ALAM
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Credential | MD
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Telephone | 330-399-7749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 35040485
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License Number State | OH
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