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General NPI Number Information
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NPI Number | 1093047664
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Entity Type | Individual
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Provider Name | SAI LAKSHMI PALLIMALLI MD
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Gender | Female
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Dates
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Enumeration Date | 02/08/2010
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Last Update Date | 06/03/2016
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Provider Practice Location Address
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Address Line | 2620 E 7TH ST SUITE 100
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City | CHARLOTTE
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State | NC
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Zip | 28204-4381
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Country | US
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Telephone | 704-332-7141
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Fax | 704-342-3324
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Provider Business Mailing Address
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Address Line | PO BOX 647
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City | HOPE MILLS
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State | NC
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Zip | 28348-0647
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Country | US
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Telephone | 910-483-7337
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Fax | 910-483-0648
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 201401605
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License Number State | NC
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