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General NPI Number Information
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NPI Number | 1013144906
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Entity Type | Individual
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Provider Name | VISHNU PRIYA REDDY NANGA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/17/2009
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Last Update Date | 01/18/2018
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Provider Practice Location Address
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Address Line | 86 W UNDERWOOD ST
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City | ORLANDO
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State | FL
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Zip | 32806-1110
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Country | US
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Telephone | 888-912-3648
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Fax | 321-841-4085
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Provider Business Mailing Address
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Address Line | 102 W PINELOCH AVE STE 23
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City | ORLANDO
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State | FL
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Zip | 32806-6100
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Country | US
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Telephone | 407-481-7179
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Fax | 407-481-7190
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036130131
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036130131
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME134356
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License Number State | FL
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