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General NPI Number Information
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NPI Number | 1124146279
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Entity Type | Organization
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Legal Business Name | SHAILAJA PAREPALLY MD PC
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 08/23/2013
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Provider Practice Location Address
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Address Line | 9104 BABCOCK BLVD SUITE 6118
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City | PITTSBURGH
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State | PA
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Zip | 15237-5818
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Country | US
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Telephone | 412-364-4620
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Fax | 412-364-7131
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Provider Business Mailing Address
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Address Line | 9104 BABCOCK BLVD SUITE 6118
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City | PITTSBURGH
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State | PA
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Zip | 15237-5818
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Country | US
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Telephone | 412-364-4620
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Fax | 412-364-7131
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHAILAJA PAREPALLY
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Credential | M.D.
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Telephone | 412-364-4620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD060821L
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License Number State | PA
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