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General NPI Number Information
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NPI Number | 1831372408
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Entity Type | Organization
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Legal Business Name | RAM EYE CARE CENTER MD PA
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Dates
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Enumeration Date | 12/06/2007
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Last Update Date | 02/28/2008
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Provider Practice Location Address
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Address Line | 1131 E NORTH BLVD
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City | LEESBURG
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State | FL
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Zip | 34748-5375
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Country | US
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Telephone | 352-365-2333
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Fax | 352-365-2024
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Provider Business Mailing Address
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Address Line | PO BOX 1739
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City | TAVARES
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State | FL
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Zip | 32778-1739
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Country | US
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Telephone | 352-365-2333
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Fax | 352-365-2024
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Authorized Official
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Title or Position | OPHTHALMOLOGIST
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Name | DR. ETHIRAJ RAMCHANDER
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Credential | MD
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Telephone | 352-365-2333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME0075978
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License Number State | FL
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