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General NPI Number Information
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NPI Number | 1962699330
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Entity Type | Individual
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Provider Name | LAKSHMI RANI RAMASUBRAMANIAN LAGUDUVA
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Gender | Female
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 09/08/2010
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Provider Practice Location Address
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Address Line | 111 MADISON AVE SUITE 305
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6097
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Country | US
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Telephone | 973-683-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 2467 RTE 10 E BUILDING 30 UNIT 1-A
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City | MORRIS PLAINS
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State | NJ
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Zip | 07950-1357
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Country | US
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Telephone | 650-954-4745
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25MA08759600
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License Number State | NJ
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