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General NPI Number Information
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NPI Number | 1215890017
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Entity Type | Individual
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Provider Name | SHRUTHI RAMACHANDRAN MD, LMCC, DA ,DNB
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Gender | Female
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1150 15TH ST
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City | AUGUSTA
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State | GA
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Zip | 30912-0004
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Country | US
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Telephone | 706-721-4544
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Fax |
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Provider Business Mailing Address
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Address Line | 301 BANDERA CT
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6039
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Country | US
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Telephone | 437-341-1872
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0PENDING
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License Number State | GA
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