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General NPI Number Information
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NPI Number | 1720570005
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Entity Type | Individual
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Provider Name | ATPUTHANATHAN RICHARD JEYARANJAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/03/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 1585 MARKHAM ROAD SUITE 302
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City | SCARBOROUGH
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State | ONTARIO
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Zip | M1B2W1
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Country | CA
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Telephone | 416-222-8004
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Fax | 416-332-9359
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Provider Business Mailing Address
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Address Line | 47 BENTWORTH AVENUE
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City | TORONTO
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State | ONTARIO
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Zip | M6A1P1
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Country | CA
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD049151L
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License Number State | PA
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