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General NPI Number Information
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NPI Number | 1154391399
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Entity Type | Individual
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Provider Name | SRIKRISHNA M NUTHI MD
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Gender | Male
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 03/06/2018
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Provider Practice Location Address
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Address Line | 751 PLEASANT ROW NW
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City | HUNTSVILLE
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State | AL
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Zip | 35816-2537
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Country | US
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Telephone | 256-533-6311
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Fax |
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Provider Business Mailing Address
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Address Line | 110 WALKER AVE NE
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4739
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Country | US
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Telephone | 856-534-8659
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Fax | 256-533-0276
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 8102
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License Number State | AL
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