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General NPI Number Information
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NPI Number | 1972036838
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Entity Type | Individual
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Provider Name | AKILA RAMARAJ M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/07/2017
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 263 FARMINGTON AVE MC 8073
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City | FARMINGTON
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State | CT
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Zip | 06030-0001
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Country | US
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Telephone | 860-679-3467
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Fax |
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Provider Business Mailing Address
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Address Line | 49 N DUNLAP ST FL 2
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City | MEMPHIS
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State | TN
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Zip | 38103-2802
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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