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General NPI Number Information
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NPI Number | 1003962689
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Entity Type | Individual
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Provider Name | SHEILA MADHAVI AMAR M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 01/07/2014
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Provider Practice Location Address
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Address Line | 3201 S AUSTIN AVE SUITE 140
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City | GEORGETOWN
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State | TX
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Zip | 78626-7554
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Country | US
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Telephone | 512-868-6673
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 S AUSTIN AVE SUITE 140
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City | GEORGETOWN
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State | TX
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Zip | 78626-7554
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Country | US
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Telephone | 512-868-6673
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | A104888
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 44555
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | N2917
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License Number State | TX
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