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General NPI Number Information
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NPI Number | 1174835631
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Entity Type | Individual
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Provider Name | DURGA P NAIDU M.D, FAAP, FACC
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Gender | Male
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Dates
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Enumeration Date | 07/12/2010
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 1003 CAMELLIA BLVD STE 101
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City | LAFAYETTE
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State | LA
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Zip | 70508-7248
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Country | US
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Telephone | 337-456-6892
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Fax | 337-735-3038
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Provider Business Mailing Address
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Address Line | 1003 CAMELLIA BLVD STE 101
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City | LAFAYETTE
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State | LA
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Zip | 70508-7248
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Country | US
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Telephone | 337-456-6892
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Fax | 337-735-3038
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 304683
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License Number State | LA
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