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General NPI Number Information
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NPI Number | 1225213028
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Entity Type | Individual
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Provider Name | RAMAKRISHNAN RANGANATH MD
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Gender | Male
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 07/18/2022
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Provider Practice Location Address
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Address Line | 3514 21ST ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1210
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Country | US
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Telephone | 806-725-1801
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Fax | 806-723-7546
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Provider Business Mailing Address
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Address Line | 2215 NASHVILLE AVE
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City | LUBBOCK
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State | TX
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Zip | 79410-1105
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Country | US
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Telephone | 806-725-5844
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Fax | 67-236-5328
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | P7549
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | P21876
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License Number State | MD
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