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General NPI Number Information
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NPI Number | 1043291420
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Entity Type | Organization
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Legal Business Name | JANAKIRAMSETTY MD.
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Dates
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Enumeration Date | 11/10/2005
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 217 STAFFORDSHIRE RD
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City | WINSTON-SALEM
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State | NC
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Zip | 27104-2719
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Country | US
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Telephone | 336-768-5394
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Fax | 336-768-5394
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Provider Business Mailing Address
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Address Line | 217 STAFFORDSHIRE RD
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City | WINSTON-SALEM
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State | NC
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Zip | 27104-2719
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Country | US
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Telephone | 336-768-5394
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Fax | 336-768-5394
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Authorized Official
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Title or Position | ATTENDING PHYSICIAN
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Name | DR. JANAKIRAM SETTY
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Credential | MD
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Telephone | 336-768-5394
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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 | 19284
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License Number State | NC
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