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General NPI Number Information
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NPI Number | 1346351319
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Entity Type | Organization
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Legal Business Name | R.V. METTU,M.D PSC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 04/21/2017
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Provider Practice Location Address
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Address Line | 387 TOWN MOUNTAIN RD STE 108
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City | PIKEVILLE
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State | KY
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Zip | 41501-1640
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Country | US
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Telephone | 606-437-4925
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Fax | 606-437-4930
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Provider Business Mailing Address
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Address Line | 387 TOWN MOUNTAIN RD STE 108
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City | PIKEVILLE
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State | KY
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Zip | 41501-1640
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Country | US
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Telephone | 606-437-4925
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Fax | 606-437-4930
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAMANARAO V METTU
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Credential | M.D.
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Telephone | 606-437-7662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State | KY
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