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General NPI Number Information
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NPI Number | 1548795412
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Entity Type | Organization
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Legal Business Name | RAVI H HALASWAMY, M.D.
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Dates
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Enumeration Date | 04/27/2017
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Last Update Date | 04/27/2017
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Provider Practice Location Address
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Address Line | 810 HOSPITAL DRIVE SUITE 370
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City | BEAUMONT
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State | TX
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Zip | 77701
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Country | US
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Telephone | 409-673-8326
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Fax |
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Provider Business Mailing Address
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Address Line | 2075 SAVANNAH TRCE
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City | BEAUMONT
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State | TX
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Zip | 77706-2553
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Country | US
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Telephone | 409-673-8326
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Fax |
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Authorized Official
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Title or Position | PHYSIICIAN
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Name | DR. RAVI H HALASWAMY
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Credential | M.D.
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Telephone | 409-673-8326
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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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