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General NPI Number Information
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NPI Number | 1386626968
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Entity Type | Individual
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Provider Name | MANGALA M RAMAMURTHY M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 10/14/2011
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Provider Practice Location Address
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Address Line | 1200 E RIDGE RD SUITE 7
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City | MCALLEN
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State | TX
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Zip | 78503-1527
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Country | US
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Telephone | 956-631-3982
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Fax | 956-631-0254
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Provider Business Mailing Address
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Address Line | PO BOX 627
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City | WESLACO
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State | TX
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Zip | 78599-0627
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Country | US
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Telephone | 956-631-3982
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Fax | 956-631-0254
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | J4977
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License Number State | TX
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