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General NPI Number Information
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NPI Number | 1316269640
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Entity Type | Individual
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Provider Name | DHANVENDRAN RAMAR MD
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Gender | Male
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Dates
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Enumeration Date | 03/01/2010
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 301 E SAINT JOSEPH ST
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City | GREEN BAY
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State | WI
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Zip | 54301-2241
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Country | US
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Telephone | 920-433-3630
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Fax | 920-445-7289
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Provider Business Mailing Address
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Address Line | 8839 N CEDAR AVE STE B4-18
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City | FRESNO
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State | CA
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Zip | 93720-1832
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Country | US
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Telephone | 914-703-0966
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 66072-20
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C-193673
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License Number State | CA
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