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General NPI Number Information
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NPI Number | 1518946045
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Entity Type | Individual
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Provider Name | VINUTHA RAVI MD
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Gender | Female
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Dates
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Enumeration Date | 01/12/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 3400 CALLOWAY DR STE 100
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City | BAKERSFIELD
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State | CA
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Zip | 93312-2513
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Country | US
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Telephone | 661-776-3876
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Fax | 661-766-3876
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Provider Business Mailing Address
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Address Line | 3400 CALLOWAY DR STE 100
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City | BAKERSFIELD
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State | CA
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Zip | 93312-2513
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Country | US
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Telephone | 661-776-3876
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Fax | 661-766-3876
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A74644
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License Number State | CA
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