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General NPI Number Information
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NPI Number | 1225425374
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Entity Type | Individual
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Provider Name | ASA RAMDATH BMEDSCI., MBBS
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Gender | Male
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Dates
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Enumeration Date | 04/15/2015
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 10000 SW INNOVATION WAY
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City | PORT ST LUCIE
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State | FL
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Zip | 34987-2111
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Country | US
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Telephone | 772-345-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 10000 SW INNOVATION WAY
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City | PORT ST LUCIE
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State | FL
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Zip | 34987-2111
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Country | US
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Telephone | 772-345-8100
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | T8319
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME175151
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License Number State | FL
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Taxonomy #3
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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 |
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License Number State |
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