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General NPI Number Information
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NPI Number | 1982864229
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Entity Type | Organization
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Legal Business Name | RAMAKRISHNA PEMMARAJU RAO,M.D.PA
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 03/27/2012
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Provider Practice Location Address
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Address Line | 1600 N REDBUD BLVD STE 207
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City | MCKINNEY
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State | TX
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Zip | 75069-3235
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Country | US
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Telephone | 214-551-1008
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 N REDBUD BLVD STE 207
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City | MCKINNEY
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State | TX
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Zip | 75069-3235
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Country | US
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Telephone | 214-551-1008
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RAMA PEMMARAJU RAO
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Credential | M.D.
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Telephone | 214-551-1008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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