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General NPI Number Information
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NPI Number | 1447325311
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Entity Type | Individual
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Provider Name | RAMANASRI V KUDIPUDI MD
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Gender | Female
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Dates
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Enumeration Date | 11/23/2006
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Last Update Date | 04/16/2024
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Provider Practice Location Address
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Address Line | CN 5050, 901 WEST MAIN STREET SUITE 260
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City | FREEHOLD
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State | NJ
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Zip | 07728
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Country | US
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Telephone | 732-685-9243
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Fax | 732-631-9924
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Provider Business Mailing Address
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Address Line | 31 YELLOW BROOK RD
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City | HOLMDEL
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State | NJ
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Zip | 07733-1967
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Country | US
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Telephone | 732-685-9243
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Fax | 732-631-9924
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 25MA07472000
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License Number State | NJ
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