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General NPI Number Information
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NPI Number | 1962480590
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Entity Type | Individual
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Provider Name | AMBIKA RAO M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/04/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 6439 GARNERS FERRY ROAD BLDG 100, RM5C100B
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City | COLUMBIA
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State | SC
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Zip | 29209-1613
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Country | US
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Telephone | 803-776-4000
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Fax | 803-647-5714
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Provider Business Mailing Address
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Address Line | 6439 GARNERS FERRY ROAD WJB DORN VA MEDICAL CENTER
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City | COLUMBIA
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State | SC
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Zip | 29209-1613
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Country | US
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Telephone | 803-776-4000
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Fax | 803-647-5714
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 7327
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 34359
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License Number State | SC
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