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General NPI Number Information
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NPI Number | 1699060764
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Entity Type | Individual
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Provider Name | SERETHA MARIA RANSOM M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/16/2011
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 109 COMMERCE PARK DR
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City | WESTERVILLE
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State | OH
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Zip | 43082-8349
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Country | US
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Telephone | 380-201-3390
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Fax | 380-201-3391
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Provider Business Mailing Address
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Address Line | 109 COMMERCE PARK DR
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City | WESTERVILLE
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State | OH
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Zip | 43082-8349
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Country | US
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Telephone | 380-201-3390
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Fax | 380-201-3391
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | LL33820
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License Number State | SC
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