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General NPI Number Information
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NPI Number | 1417950957
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Entity Type | Individual
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Provider Name | RANJIT ALEXIUS CORDEIRO M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/28/2005
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Last Update Date | 06/13/2022
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Provider Practice Location Address
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Address Line | 110 N 4TH AVE
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City | COVINA
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State | CA
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Zip | 91723-1825
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Country | US
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Telephone | 626-966-3499
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Fax | 626-966-3433
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Provider Business Mailing Address
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Address Line | 1012 W BEVERLY BLVD # 1001
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City | MONTEBELLO
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State | CA
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Zip | 90640-4139
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Country | US
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Telephone | 323-838-5434
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Fax | 323-838-9131
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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 | A54871
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A54871
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License Number State | CA
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