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General NPI Number Information
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NPI Number | 1083958078
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Entity Type | Organization
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Legal Business Name | SREEDEVI VAYALAPALLI, MD,PC
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 950 SCALES RD SUITE # 302
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City | SUWANEE
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State | GA
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Zip | 30024-4340
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Country | US
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Telephone | 404-994-5000
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Fax | 888-264-8367
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Provider Business Mailing Address
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Address Line | 950 SCALES RD SUITE # 302
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City | SUWANEE
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State | GA
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Zip | 30024-4340
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Country | US
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Telephone | 404-994-5000
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Fax | 888-264-8367
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SREEDEVI VAYALAPALLI
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Credential | M.D.
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Telephone | 404-994-5000
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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 | 059226
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License Number State | GA
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