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General NPI Number Information
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NPI Number | 1548363708
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Entity Type | Individual
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Provider Name | RAVI HALASWAMY MD
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Gender | Male
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 11/20/2020
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Provider Practice Location Address
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Address Line | 2666 CALDER ST
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City | BEAUMONT
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State | TX
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Zip | 77702-1917
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Country | US
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Telephone | 409-813-1177
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Fax | 409-813-1199
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Provider Business Mailing Address
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Address Line | PO BOX 840853
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City | DALLAS
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State | TX
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Zip | 75284-0853
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Country | US
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Telephone | 409-813-1177
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Fax | 409-813-1199
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | J2592
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License Number State | TX
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