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General NPI Number Information
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NPI Number | 1972549475
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Entity Type | Organization
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Legal Business Name | TALLAM INPATIENT MEDICINE PC
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 3015 N BALLAS RD
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City | SAINT LOUIS
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State | MO
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Zip | 63131-2329
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Country | US
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Telephone | 314-996-5000
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Fax | 636-333-4510
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Provider Business Mailing Address
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Address Line | PO BOX 7355
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City | CHESTERFIELD
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State | MO
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Zip | 63006-7355
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Country | US
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Telephone | 314-996-5000
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Fax | 636-333-4510
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Authorized Official
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Title or Position | OWNER
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Name | RAMA TALLAM
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Credential | MD
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Telephone | 636-333-4500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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