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General NPI Number Information
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NPI Number | 1669489134
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Entity Type | Individual
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Provider Name | RAM P WADHWA MD
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Gender | Male
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 10/29/2007
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Provider Practice Location Address
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Address Line | 1545 ATLANTIC AVE
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City | BROOKLYN
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State | NY
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Zip | 11213-1122
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Country | US
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Telephone | 718-613-4088
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Fax |
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Provider Business Mailing Address
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Address Line | 401 CHARLES ST
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City | EAST WILLISTON
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State | NY
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Zip | 11596-2521
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Country | US
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Telephone | 718-613-4087
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 129078
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License Number State | NY
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