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General NPI Number Information
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NPI Number | 1932697091
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Entity Type | Individual
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Provider Name | ECE MERAM MD
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Gender | Female
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Dates
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Enumeration Date | 04/24/2018
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 2450 RIVERSIDE AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55454-1450
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Country | US
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Telephone | 612-672-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 420 DELAWARE ST SE STE MMC292
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City | MINNEAPOLIS
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State | MN
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Zip | 55455-6300
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 76413
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 73145-20
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 76413
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License Number State | MN
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