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General NPI Number Information
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NPI Number | 1033551965
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Entity Type | Individual
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Provider Name | SAVITHA BONTHALA D.O., M.P.H.
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Gender | Female
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Dates
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Enumeration Date | 07/19/2013
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Last Update Date | 09/08/2020
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Provider Practice Location Address
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Address Line | 1300 BINZ ST FL 3
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City | HOUSTON
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State | TX
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Zip | 77004-7016
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Country | US
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Telephone | 713-285-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 15403 BAY COVE CT
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City | HOUSTON
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State | TX
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Zip | 77059-5821
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Country | US
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Telephone | 281-382-4838
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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 | 2081P0301X
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Taxonomy Name | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | R8869
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License Number State | TX
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