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General NPI Number Information
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NPI Number | 1356558894
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Entity Type | Individual
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Provider Name | ASHOK K. AMMULA M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 04/06/2022
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Provider Practice Location Address
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Address Line | 7700 WASHINGTON VILLAGE DR. SUITE 230
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City | DAYTON
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State | OH
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Zip | 45459-3267
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Country | US
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Telephone | 937-438-3132
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Fax | 937-438-8707
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Provider Business Mailing Address
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Address Line | 7700 WASHINGTON VILLAGE DR. SUITE 220
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City | DAYTON
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State | OH
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Zip | 45459-3267
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Country | US
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Telephone | 937-312-6551
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Fax | 937-438-0902
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 35092062
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License Number State | OH
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