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General NPI Number Information
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NPI Number | 1346855566
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Entity Type | Individual
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Provider Name | KRISHNAPRIYA RAMANUJAM PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/14/2020
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Last Update Date | 09/14/2020
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Provider Practice Location Address
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Address Line | 6443 SW BEAVERTON HILLSDALE HWY STE 300
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City | PORTLAND
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State | OR
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Zip | 97221-4210
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Country | US
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Telephone | 503-452-8002
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Fax |
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Provider Business Mailing Address
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Address Line | 8817 SW 51ST AVE
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City | PORTLAND
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State | OR
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Zip | 97219-3373
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Country | US
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Telephone | 937-260-0618
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3234
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License Number State | OR
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