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General NPI Number Information
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NPI Number | 1316268782
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Entity Type | Individual
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Provider Name | HARI PRASAD RAVIPATI M.D
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Gender | Male
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Dates
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Enumeration Date | 06/19/2010
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 1775 ONE HEALING PL
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4600
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Country | US
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Telephone | 850-431-5360
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Fax | 850-431-5367
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Provider Business Mailing Address
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Address Line | 907 18TH ST E STE 150
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City | TIFTON
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State | GA
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Zip | 31794-3690
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Country | US
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Telephone | 229-353-3422
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Fax | 229-353-6060
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | ME164649
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 069699
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License Number State | GA
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