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NPI 1063655942

NPI 1063655942 : SAILAJA P.ALLANKI PC : ASPINWALL, PA

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General NPI Number Information
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    NPI Number           |    1063655942
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAILAJA P.ALLANKI PC 
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Dates
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    Enumeration Date     |    04/08/2009
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    Last Update Date     |    04/08/2009
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Provider Practice Location Address
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    Address Line         |    135 FREEPORT RD 
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    City                 |    ASPINWALL
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    State                |    PA
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    Zip                  |    15215-2943
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    Country              |    US
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    Telephone            |    412-782-6909
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    135 FREEPORT RD 
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    City                 |    ASPINWALL
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    State                |    PA
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    Zip                  |    15215-2943
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    Country              |    US
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    Telephone            |    412-782-6909
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. SAILAJA P ALLANKI 
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    Credential           |    M.D
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    Telephone            |    412-782-6909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    MD061138L
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    License Number State |    PA
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