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General NPI Number Information
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NPI Number | 1144454638
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Entity Type | Individual
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Provider Name | SRILATHA BANAGIRI HOSUR M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/12/2009
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 2102 HARRISBURG PIKE
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City | LANCASTER
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State | PA
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Zip | 17601-2644
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Country | US
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Telephone | 717-544-9400
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Fax | 717-544-9401
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Provider Business Mailing Address
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Address Line | 2102 HARRISBURG PIKE
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City | LANCASTER
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State | PA
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Zip | 17601-2644
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Country | US
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Telephone | 717-544-9400
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Fax | 717-544-9401
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD450933
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License Number State | PA
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