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General NPI Number Information
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NPI Number | 1316973902
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Entity Type | Individual
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Provider Name | TERRY RAMNANAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 01/16/2020
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Provider Practice Location Address
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Address Line | 30 W CENTURY RD STE 220
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City | PARAMUS
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State | NJ
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Zip | 07652-1421
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Country | US
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Telephone | 201-523-9909
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Fax | 201-523-9910
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Provider Business Mailing Address
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Address Line | PO BOX 604
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City | SADDLE RIVER
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State | NJ
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Zip | 07458-0604
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Country | US
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Telephone | 973-839-8444
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Fax | 973-839-8445
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA04543000
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License Number State | NJ
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