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General NPI Number Information
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NPI Number | 1497378855
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Entity Type | Organization
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Legal Business Name | CHAMPION HEART AND VASCULAR CENTER, OXFORD PLLC
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Dates
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Enumeration Date | 05/20/2020
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 1614 WILLIAMSBORO ST
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City | OXFORD
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State | NC
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Zip | 27565-5016
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Country | US
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Telephone | 919-339-4077
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Fax | 855-618-2311
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Provider Business Mailing Address
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Address Line | 1614 WILLIAMSBORO STREET
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City | OXFORD
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State | NC
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Zip | 27565
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Country | US
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Telephone | 919-339-4077
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Fax | 855-618-2311
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Authorized Official
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Title or Position | PRESIDENT
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Name | RADHAKRISHNAN RAMARAJ
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Credential | MD
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Telephone | 910-304-1212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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