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General NPI Number Information
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NPI Number | 1558353326
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Entity Type | Individual
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Provider Name | SIVARAMAN YEGYA-RAMAN MD
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Gender | Male
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 239 HURFFVILLE CROSSKEYS RD STE 350C
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City | SEWELL
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State | NJ
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Zip | 08080-4007
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Country | US
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Telephone | 856-589-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 301 LIPPINCOTT DR STE 410
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City | MARLTON
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State | NJ
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Zip | 08053-4197
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Country | US
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Telephone | 856-355-0340
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Fax | 856-355-0330
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MA04463600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 25MA04463600
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License Number State | NJ
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