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General NPI Number Information
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NPI Number | 1427116532
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Entity Type | Individual
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Provider Name | RAM MUTHIALU MD
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Gender | Male
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11411 BROOKSHIRE AVE #206
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City | DOWNEY
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State | CA
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Zip | 90241
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Country | US
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Telephone | 562-862-5177
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Fax | 562-862-3417
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Provider Business Mailing Address
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Address Line | 11411 BROOKSHIRE AVE #206
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City | DOWNEY
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State | CA
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Zip | 90241
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Country | US
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Telephone | 562-862-5177
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Fax | 562-862-3417
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | A25639
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License Number State | CA
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