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General NPI Number Information
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NPI Number | 1619295805
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Entity Type | Individual
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Provider Name | REBECCA SUZANNE RATNAM M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/12/2010
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 1835 N FRANKLIN ST 5 SOUTH TOWER #530
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City | DENVER
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State | CO
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Zip | 80218-1126
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Country | US
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Telephone | 303-866-8444
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Fax | 303-866-8446
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Provider Business Mailing Address
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Address Line | 3843 INGRAHAM ST APT F209
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City | SAN DIEGO
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State | CA
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Zip | 92109-6462
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Country | US
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Telephone | 305-781-5021
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 48848
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License Number State | CO
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