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General NPI Number Information
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NPI Number | 1518953496
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Entity Type | Individual
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Provider Name | MUTHUSWAMI RAMACHANDRAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/26/2005
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Last Update Date | 08/19/2010
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Provider Practice Location Address
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Address Line | 13005 STATE ROAD 80 SUITE# 141
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-9206
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Country | US
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Telephone | 561-798-4600
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Fax | 561-798-1132
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Provider Business Mailing Address
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Address Line | 13005 STATE ROAD 80 SUITE# 141
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-9206
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Country | US
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Telephone | 561-798-4600
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Fax | 561-798-1132
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 32965
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License Number State | FL
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