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General NPI Number Information
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NPI Number | 1689988198
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Entity Type | Organization
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Legal Business Name | RAMAN ORTHODONTICS, LLC
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Dates
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Enumeration Date | 07/27/2010
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Last Update Date | 12/31/2015
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Provider Practice Location Address
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Address Line | 7321 ST. ANDREWS RD. SUITE D
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City | IRMO
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State | SC
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Zip | 29063
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Country | US
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Telephone | 803-749-4001
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Fax |
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Provider Business Mailing Address
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Address Line | 7321 ST. ANDREWS RD. SUITE D
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City | IRMO
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State | SC
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Zip | 29063
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Country | US
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Telephone | 803-749-4001
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES WESLEY RAMAN
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Credential | DMD
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Telephone | 803-269-8841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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