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General NPI Number Information
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NPI Number | 1124262209
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Entity Type | Individual
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Provider Name | SWAPNA KODURU M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/21/2009
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Last Update Date | 09/11/2014
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Provider Practice Location Address
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Address Line | 1850 HICKORY ST SUITE 200
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City | ABILENE
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State | TX
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Zip | 79601-2325
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Country | US
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Telephone | 325-670-4590
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Fax | 325-670-4587
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Provider Business Mailing Address
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Address Line | PO BOX 1198
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City | ABILENE
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State | TX
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Zip | 79604-1198
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Country | US
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Telephone | 325-670-4220
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Fax | 325-670-4040
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 0101249330
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | P2022
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License Number State | TX
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