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General NPI Number Information
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NPI Number | 1245608090
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Entity Type | Organization
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Legal Business Name | RAM CLINIC, PC
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Dates
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Enumeration Date | 09/10/2015
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 1200 PROVIDENCE HWY SUITE 210
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City | NORWOOD
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State | MA
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Zip | 02062-5017
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Country | US
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Telephone | 781-333-3444
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Fax | 781-680-7121
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Provider Business Mailing Address
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Address Line | 1200 PROVIDENCE HWY SUITE 210
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City | NORWOOD
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State | MA
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Zip | 02062-5017
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Country | US
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Telephone | 781-333-3444
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Fax | 781-680-7121
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Authorized Official
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Title or Position | OWNER
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Name | PRABHU S RAM
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Credential | M.D.
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Telephone | 781-333-3444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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