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General NPI Number Information
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NPI Number | 1154327781
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Entity Type | Individual
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Provider Name | PONNAVOLU D. REDDY MD
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Gender | Male
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 5115 US HIGHWAY 27 N STE 100
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City | SEBRING
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State | FL
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Zip | 33870-1323
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Country | US
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Telephone | 863-385-2222
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Fax | 863-382-8765
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Provider Business Mailing Address
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Address Line | 5115 US HIGHWAY 27 N STE 100
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City | SEBRING
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State | FL
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Zip | 33870-1323
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Country | US
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Telephone | 863-385-2222
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Fax | 863-382-8765
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME85679
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License Number State | FL
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