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General NPI Number Information
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NPI Number | 1114258902
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Entity Type | Organization
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Legal Business Name | RAO N KOTHAPALLI MD PA
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Dates
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Enumeration Date | 01/19/2010
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Last Update Date | 03/01/2010
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Provider Practice Location Address
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Address Line | 315 E 3RD ST
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City | SILER CITY
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State | NC
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Zip | 27344-3231
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Country | US
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Telephone | 919-663-3161
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Fax | 919-663-2212
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Provider Business Mailing Address
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Address Line | PO BOX 767 315 E 3RD STREET
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City | SILER CITY
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State | NC
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Zip | 27344-0767
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Country | US
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Telephone | 919-663-3161
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Fax | 919-663-2212
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAO N KOTHAPALLI
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Credential | MDPA
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Telephone | 919-663-3161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 24169
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License Number State | NC
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