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General NPI Number Information
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NPI Number | 1821288804
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Entity Type | Organization
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Legal Business Name | C.P. VASUDEVAN,M.D.,P.C.
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 2117 COLLEGE AVE
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City | BLUEFIELD
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State | VA
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Zip | 24605-2002
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Country | US
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Telephone | 276-322-5864
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Fax |
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Provider Business Mailing Address
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Address Line | 2117 COLLEGE AVE
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City | BLUEFIELD
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State | VA
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Zip | 24605-2002
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Country | US
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Telephone | 276-322-5864
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CUDDALORE P VASUDEVAN
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Credential | M.D.
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Telephone | 276-322-5864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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