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General NPI Number Information
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NPI Number | 1164321105
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Entity Type | Individual
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Provider Name | SAI SRIKANTH REDDY VINJAMURI
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Gender | Male
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Dates
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Enumeration Date | 11/04/2026
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Last Update Date | 11/04/2026
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Provider Practice Location Address
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Address Line | 2778 JOHN F KENNEDY BLVD
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City | JERSEY CITY
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State | NJ
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Zip | 07306-5508
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Country | US
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Telephone | 972-314-1590
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Fax |
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Provider Business Mailing Address
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Address Line | 819 SPRING ST RM 124
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City | ELIZABETH
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State | NJ
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Zip | 07201-2101
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Country | US
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Telephone | 972-314-1590
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Fax |
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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