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General NPI Number Information
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NPI Number | 1558316398
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Entity Type | Individual
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Provider Name | DEVYANI SUBHASH RAVAL M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5375 E ERICKSON DR #103
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City | TUCSON
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State | AZ
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Zip | 85712-2838
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Country | US
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Telephone | 529-292-0727
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Fax |
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Provider Business Mailing Address
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Address Line | 6110 N CAMINO DE MICHAEL
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City | TUCSON
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State | AZ
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Zip | 85718-2716
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Country | US
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Telephone | 520-297-0809
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Fax |
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 19390
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License Number State | AZ
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