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General NPI Number Information
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NPI Number | 1386866853
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Entity Type | Individual
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Provider Name | RAMAN KUMAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 2 SAINT ANTHONYS WAY STE 305
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City | ALTON
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State | IL
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Zip | 62002-4569
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Country | US
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Telephone | 618-465-9024
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Fax | 618-462-6828
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Provider Business Mailing Address
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Address Line | 2 SAINT ANTHONYS WAY STE 305
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City | ALTON
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State | IL
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Zip | 62002-4569
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Country | US
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Telephone | 618-465-9024
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Fax | 618-462-6828
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 0101250146
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 0101250146
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | MD461609
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036.148925
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License Number State | IL
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