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General NPI Number Information
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NPI Number | 1033482831
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Entity Type | Organization
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Legal Business Name | V.P.PRADEEP M.D. P.A
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Dates
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Enumeration Date | 02/10/2012
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Last Update Date | 02/10/2012
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Provider Practice Location Address
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Address Line | 5553 MARQUESAS CIR
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City | SARASOTA
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State | FL
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Zip | 34233-3332
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Country | US
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Telephone | 941-921-5208
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Fax | 941-921-0985
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Provider Business Mailing Address
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Address Line | 5553 MARQUESAS CIR
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City | SARASOTA
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State | FL
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Zip | 34233-3332
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Country | US
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Telephone | 941-921-5208
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Fax | 941-921-0985
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Authorized Official
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Title or Position | M.D.
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Name | VETTIAZHATH P PRADEEP
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Credential |
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Telephone | 941-921-5208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME61644
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License Number State | FL
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