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General NPI Number Information
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NPI Number | 1043306186
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Entity Type | Organization
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Legal Business Name | V. ARAVIND REDDY M.D.P.C.
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 08/22/2023
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Provider Practice Location Address
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Address Line | 625 S 5TH ST SUITE B
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City | WATSEKA
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State | IL
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Zip | 60970-1835
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Country | US
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Telephone | 815-432-2225
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Fax | 815-432-3623
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Provider Business Mailing Address
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Address Line | 625 S 5TH ST SUITE B
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City | WATSEKA
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State | IL
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Zip | 60970-1835
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Country | US
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Telephone | 815-432-2225
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Fax | 815-432-3623
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. V. ARAVIND REDDY
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Credential | M.D.
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Telephone | 815-432-2225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 036075574
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License Number State | IL
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