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General NPI Number Information
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NPI Number | 1265572341
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Entity Type | Organization
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Legal Business Name | RAVINDRA RAJMANE MD PLLC
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 03/20/2008
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Provider Practice Location Address
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Address Line | 254 W 10TH ST SUITE 2B
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City | NEW YORK
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State | NY
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Zip | 10014-6422
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Country | US
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Telephone | 212-206-6646
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Fax | 212-627-2395
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Provider Business Mailing Address
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Address Line | PO BOX 7156 JAF STATION
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City | NEW YORK
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State | NY
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Zip | 10116-7156
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Country | US
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Telephone | 212-206-6646
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Fax | 212-627-2395
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Authorized Official
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Title or Position | CEO
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Name | RAVINDRA RAJMANE
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Credential | MD
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Telephone | 212-206-6646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 2037131
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License Number State | NY
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