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General NPI Number Information
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NPI Number | 1336397918
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Entity Type | Individual
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Provider Name | MRS. MALI MUNISAMI - RAMAN
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Gender | Female
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Dates
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Enumeration Date | 09/08/2008
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Last Update Date | 09/26/2008
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Provider Practice Location Address
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Address Line | 514 STATE ROAD 32 E
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City | WESTFIELD
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State | IN
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Zip | 46074-8767
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Country | US
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Telephone | 877-366-2663
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Fax | 317-867-7701
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Provider Business Mailing Address
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Address Line | PO BOX 358
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City | TIPTON
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State | IN
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Zip | 46072-0358
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Country | US
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Telephone | 765-675-8119
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Fax | 765-675-8257
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 999158
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License Number State | MD
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