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General NPI Number Information
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NPI Number | 1578574885
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Entity Type | Individual
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Provider Name | RAMESHLAL M RAWLANI MD
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Gender | Male
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 10/01/2012
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Provider Practice Location Address
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Address Line | 600 EAST 5TH STREET FULTON STATE HOSPITAL
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City | FULTON
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State | MO
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Zip | 65251
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Country | US
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Telephone | 573-592-4100
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Fax | 573-592-3023
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Provider Business Mailing Address
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Address Line | 2808 WOODBERRY CT
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City | COLUMBIA
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State | MO
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Zip | 65203-6652
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Country | US
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Telephone | 573-446-5960
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 105490
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License Number State | MO
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