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General NPI Number Information
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NPI Number | 1770858250
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Entity Type | Individual
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Provider Name | RAMA PALIWAL MD
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Gender | Female
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Dates
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Enumeration Date | 03/15/2012
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Last Update Date | 03/15/2012
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Provider Practice Location Address
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Address Line | 1025 DALY ST JCHS
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City | LOS ANGELES
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State | CA
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Zip | 90031
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Country | US
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Telephone | 323-226-8723
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Fax |
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Provider Business Mailing Address
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Address Line | 16715 CEDARWOOD CIRCLE
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City | CERRITOS
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State | CA
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Zip | 90703
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Country | US
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Telephone | 562-483-1071
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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 | 2080T0002X
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Taxonomy Name | Pediatric Medical Toxicology Physician
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License Number | A32396
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License Number State | CA
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