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General NPI Number Information
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NPI Number | 1982919338
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Entity Type | Organization
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Legal Business Name | KC KRISHNAMURTHI MD INC
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Dates
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Enumeration Date | 08/10/2010
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Last Update Date | 09/08/2010
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Provider Practice Location Address
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Address Line | 1941 BANEY RD S
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City | ASHLAND
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State | OH
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Zip | 44805-4502
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Country | US
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Telephone | 419-289-3355
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Fax | 419-281-6444
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Provider Business Mailing Address
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Address Line | 1941 BANEY RD S
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City | ASHLAND
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State | OH
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Zip | 44805-4502
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Country | US
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Telephone | 419-289-3355
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Fax | 419-281-6444
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Authorized Official
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Title or Position | PRESIDENT
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Name | KRISHNASWAMY CHENROYAN KRISHNAMURTHI
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Credential | MD
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Telephone | 419-289-3355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35033441
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License Number State | OH
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