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General NPI Number Information
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NPI Number | 1821230699
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Entity Type | Organization
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Legal Business Name | S. RAMACHANDRAN NAIR, MD, PC
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Dates
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Enumeration Date | 03/25/2009
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Last Update Date | 03/25/2009
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Provider Practice Location Address
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Address Line | 11 RALPH PLACE STE 211
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City | STATEN ISLAND
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State | NY
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Zip | 10304
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Country | US
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Telephone | 718-727-0707
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Fax | 718-556-3640
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Provider Business Mailing Address
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Address Line | 51 NIXON AVENUE
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City | STATEN ISLAND
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State | NY
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Zip | 10304
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Country | US
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Telephone | 718-727-0707
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Fax | 718-556-3640
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Authorized Official
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Title or Position | PRESIDENT
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Name | S. RAMACHANDRAN NAIR
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Credential | MD, PC
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Telephone | 718-727-0707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 131614
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 131614
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License Number State | NY
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