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General NPI Number Information
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NPI Number | 1154657682
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Entity Type | Organization
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Legal Business Name | MAREPALLYS PLLC
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Dates
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Enumeration Date | 10/18/2009
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Last Update Date | 02/03/2010
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Provider Practice Location Address
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Address Line | 4626 E SHEA BLVD . C-280
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City | PHOENIX
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State | AZ
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Zip | 85028-3071
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Country | US
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Telephone | 602-374-8030
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Fax | 602-374-7728
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Provider Business Mailing Address
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Address Line | 4626 E SHEA BLVD . C-280
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City | PHOENIX
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State | AZ
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Zip | 85028-3071
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Country | US
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Telephone | 602-374-8030
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Fax | 602-374-7728
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Authorized Official
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Title or Position | OWNER
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Name | SAPNA MAREPALLY
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Credential | MD
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Telephone | 602-374-8030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 37273
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License Number State | AZ
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