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General NPI Number Information
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NPI Number | 1558354860
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Entity Type | Individual
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Provider Name | CHITRA VENKATRAMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 03/19/2019
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Provider Practice Location Address
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Address Line | 7300 HANOVER DRIVE SUITE 301
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City | GREENBELT
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State | MD
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Zip | 20770
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Country | US
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Telephone | 301-345-1800
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Fax | 301-345-3854
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Provider Business Mailing Address
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Address Line | 10710 RIVER RD CHITRA VENKATRAMAN, M.D., P.A.
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City | POTOMAC
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State | MD
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Zip | 20854-4114
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Country | US
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Telephone | 301-345-1800
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Fax | 301-345-3854
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | D41715
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | D41715
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License Number State | MD
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