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General NPI Number Information
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NPI Number | 1053506949
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Entity Type | Individual
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Provider Name | AMEET VENKAT THATISHETTY MD
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Gender | Male
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 04/21/2020
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Provider Practice Location Address
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Address Line | 6200 W PARKER RD
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City | PLANO
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State | TX
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Zip | 75093-8185
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Country | US
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Telephone | 972-981-3225
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Fax | 972-981-3967
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Provider Business Mailing Address
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Address Line | 6200 W PARKER RD
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City | PLANO
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State | TX
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Zip | 75093-8185
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Country | US
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Telephone | 972-981-3225
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Fax | 972-981-3967
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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 | 061524
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 061524
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R5944
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License Number State | TX
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