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General NPI Number Information
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NPI Number | 1497094726
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Entity Type | Organization
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Legal Business Name | V TIRUCHELVAM LLC
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Dates
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Enumeration Date | 02/06/2013
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Last Update Date | 02/06/2013
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Provider Practice Location Address
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Address Line | 2350 FREEDOM WAY SUITE 104
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City | YORK
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State | PA
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Zip | 17402-8200
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Country | US
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Telephone | 717-801-1250
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Fax | 717-741-3031
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Provider Business Mailing Address
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Address Line | 2350 FREEDOM WAY SUITE 104
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City | YORK
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State | PA
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Zip | 17402-8200
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Country | US
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Telephone | 717-801-1250
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Fax | 717-741-3031
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. VASUDEVAN TIRUCHELVAM
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Credential | MD
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Telephone | 717-801-1250
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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 | MD033513E
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License Number State | PA
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