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General NPI Number Information
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NPI Number | 1225009640
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Entity Type | Individual
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Provider Name | SANJAY MOHAN RAMCHANDANI M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 07/01/2016
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Provider Practice Location Address
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Address Line | 145 HOSPITAL AVE SUITE 315
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City | DU BOIS
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State | PA
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Zip | 15801-1462
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Country | US
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Telephone | 814-371-6721
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Fax | 814-371-3921
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Provider Business Mailing Address
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Address Line | 145 HOSPITAL AVE SUITE 315
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City | DU BOIS
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State | PA
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Zip | 15801-1462
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Country | US
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Telephone | 814-371-6721
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Fax | 814-371-3921
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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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | L5107
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD073392L
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License Number State | PA
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