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General NPI Number Information
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NPI Number | 1346439148
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Entity Type | Organization
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Legal Business Name | RAMALINGESWARA R. NIMMAGADDA
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Dates
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Enumeration Date | 10/17/2007
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Last Update Date | 10/17/2007
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Provider Practice Location Address
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Address Line | 1515 CHAIN BRIDGE RD SUITE 212
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City | MC LEAN
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State | VA
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Zip | 22101-4451
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Country | US
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Telephone | 703-356-5400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6111
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City | FALLS CHURCH
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State | VA
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Zip | 22040-6111
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. RAMALINGESWARA R NIMMAGADDA
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Credential |
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Telephone | 703-629-3969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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