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General NPI Number Information
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NPI Number | 1316133580
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Entity Type | Organization
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Legal Business Name | S. RAMASAMY, M.D., LLC
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Dates
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Enumeration Date | 09/20/2007
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Last Update Date | 08/28/2020
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Provider Practice Location Address
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Address Line | 1101 GOLF COURSE RD SE SUITE 203
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City | RIO RANCHO
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State | NM
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Zip | 87124-4728
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Country | US
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Telephone | 505-234-1616
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Fax | 505-234-1617
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Provider Business Mailing Address
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Address Line | 1101 GOLF COURSE RD SE SUITE 203
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City | RIO RANCHO
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State | NM
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Zip | 87124-4728
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Country | US
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Telephone | 505-234-1616
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Fax | 505-234-1617
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Authorized Official
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Title or Position | PRESIDENT
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Name | SENTHILKUMAR RAMASAMY
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Credential | M.D.
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Telephone | 505-234-1616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | 2003-0552
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License Number State | NM
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