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General NPI Number Information
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NPI Number | 1740307529
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Entity Type | Individual
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Provider Name | MEERA RAMACHANDRAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/25/2007
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Last Update Date | 10/20/2011
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Provider Practice Location Address
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Address Line | 650 E INDIAN SCHOOL RD 11C19
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City | PHOENIX
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State | AZ
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Zip | 85012-1839
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Country | US
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Telephone | 602-277-5551
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Fax |
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Provider Business Mailing Address
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Address Line | 6910 S FIELDGATE CT
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City | BATON ROUGE
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State | LA
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Zip | 70808-5455
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Country | US
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Telephone | 225-761-4224
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD.203712
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License Number State | LA
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