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General NPI Number Information
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NPI Number | 1376745356
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Entity Type | Individual
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Provider Name | RANJITH WIJERATNE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 3219 CLIFTON AVE
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City | CINCINNATI
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State | OH
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Zip | 45220-3027
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Country | US
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Telephone | 513-853-9333
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Fax |
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Provider Business Mailing Address
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Address Line | 3219 CLIFTON AVE
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City | CINCINNATI
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State | OH
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Zip | 45220-3027
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Country | US
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Telephone | 513-853-9333
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 63671
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A94092
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD2011-0752
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 66417
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | C1843
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License Number State | KY
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Taxonomy #6
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 35.143467
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License Number State | OH
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