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General NPI Number Information
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NPI Number | 1033190301
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Entity Type | Individual
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Provider Name | VENKATAPRASANTH P REDDY M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/14/2005
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 275 DRY HILL RD
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City | BECKLEY
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State | WV
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Zip | 25801-2605
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Country | US
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Telephone | 304-253-6060
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Fax |
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Provider Business Mailing Address
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Address Line | 8706 PINE ST
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City | LENEXA
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State | KS
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Zip | 66220-3366
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Country | US
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Telephone | 913-707-2398
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 04-31564
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 04-31564
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 04-31564
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License Number State | KS
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