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General NPI Number Information
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NPI Number | 1003497330
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Entity Type | Individual
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Provider Name | NEESHA CHANDANI SIRIWARDANE MD
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Gender | Female
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Dates
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Enumeration Date | 04/19/2021
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 2211 LOMAS BLVD NE UNIVERSITY OF NEW MEXICO
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City | ALBUQUERQUE
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State | NM
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Zip | 87131-2703
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Country | US
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Telephone | 505-272-6225
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Fax |
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Provider Business Mailing Address
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Address Line | 848 TIJERAS AVE NW UNIT A
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-3142
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Country | US
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Telephone | 318-548-7642
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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 | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number | MD2025-0121
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License Number State | NM
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