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General NPI Number Information
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NPI Number | 1558939009
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Entity Type | Organization
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Legal Business Name | OCOTILLOMD PLC
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Dates
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Enumeration Date | 06/11/2021
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | 2040 S ALMA SCHOOL RD
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City | CHANDLER
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State | AZ
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Zip | 85286-7075
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Country | US
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Telephone | 573-673-5721
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Fax |
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Provider Business Mailing Address
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Address Line | 2040 S ALMA SCHOOL RD STE PMB 393
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City | CHANDLER
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State | AZ
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Zip | 85286-7075
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Country | US
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Telephone | 480-382-1457
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ANUPAMA RAMALINGAM
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Credential | MD
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Telephone | 480-382-1457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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