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General NPI Number Information
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NPI Number | 1912044371
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Entity Type | Organization
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Legal Business Name | R A M MEDICAL INC
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 04/28/2011
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Provider Practice Location Address
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Address Line | 604 LUCERNE AVE
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City | LAKE WORTH
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State | FL
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Zip | 33460-3821
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Country | US
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Telephone | 561-586-8313
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Fax | 561-586-8314
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Provider Business Mailing Address
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Address Line | 604 LUCERNE AVE
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City | LAKE WORTH
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State | FL
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Zip | 33460-3821
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Country | US
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Telephone | 561-586-8313
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Fax | 561-586-8314
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Authorized Official
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Title or Position | D.P.M.
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Name | DR. RANDHIR A LAL
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Credential | D.P.M.
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Telephone | 561-586-8313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO3175
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License Number State | FL
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