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General NPI Number Information
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NPI Number | 1487832473
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Entity Type | Organization
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Legal Business Name | MUTHULAKSMI RAMESH, M.D., P.C.
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Dates
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Enumeration Date | 02/01/2008
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Last Update Date | 08/05/2010
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Provider Practice Location Address
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Address Line | 1950 KEENE RD BLDG J
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City | RICHLAND
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State | WA
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Zip | 99352-7752
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Country | US
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Telephone | 509-627-1088
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Fax | 509-627-1090
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Provider Business Mailing Address
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Address Line | 1950 KEENE RD BLDG J
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City | RICHLAND
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State | WA
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Zip | 99352-7751
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Country | US
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Telephone | 509-627-1088
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Fax | 509-783-9148
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Authorized Official
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Title or Position | DR.
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Name | MUTHULAKSMI RAMESH
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Credential | M.D.
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Telephone | 509-627-1088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD00040452
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD00040452
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License Number State | WA
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