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General NPI Number Information
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NPI Number | 1548544166
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Entity Type | Organization
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Legal Business Name | RAMA THIRU PATHI MD INC.
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Dates
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Enumeration Date | 09/30/2011
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Last Update Date | 10/26/2011
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Provider Practice Location Address
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Address Line | 18145 HIGHWAY 18 SUITE D
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City | APPLE VALLEY
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State | CA
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Zip | 92307-2210
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Country | US
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Telephone | 760-946-0020
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Fax | 760-946-0710
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Provider Business Mailing Address
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Address Line | 18145 HIGHWAY 18 SUITE D
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City | APPLE VALLEY
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State | CA
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Zip | 92307-2210
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Country | US
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Telephone | 760-946-0020
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Fax | 760-946-0710
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAMA THIRU PATHI
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Credential | M.D., F.A.C.S.
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Telephone | 760-946-0020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery 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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) 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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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