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General NPI Number Information
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NPI Number | 1851539761
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Entity Type | Organization
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Legal Business Name | SAM RATNAYAKE, M.D., INC
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Dates
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Enumeration Date | 01/30/2009
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Last Update Date | 10/28/2022
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Provider Practice Location Address
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Address Line | 6001 TRUXTUN AVE B STE 240
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0679
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Country | US
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Telephone | 661-377-3777
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Fax | 661-377-3778
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Provider Business Mailing Address
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Address Line | 6001 TRUXTUN AVE STE 200
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0662
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Country | US
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Telephone | 661-377-3777
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Fax | 661-377-3778
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. SAM N RATNAYAKE
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Credential | M.D.
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Telephone | 661-377-3777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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