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General NPI Number Information
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NPI Number | 1114095114
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Entity Type | Individual
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Provider Name | LINGA MURTHY VUPPALA D.D.S
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Gender | Male
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 08/31/2009
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Provider Practice Location Address
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Address Line | 1107 OCEAN ST
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City | SANTA CRUZ
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State | CA
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Zip | 95060-2818
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Country | US
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Telephone | 831-600-3260
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Fax | 831-466-9483
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Provider Business Mailing Address
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Address Line | 792 BATISTA DR
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City | SAN JOSE
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State | CA
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Zip | 95136-4850
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Country | US
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Telephone | 408-667-5566
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Fax | 831-466-9483
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 51000
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License Number State | CA
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