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General NPI Number Information
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NPI Number | 1194637975
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Entity Type | Individual
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Provider Name | LAKSHMI PEDDU RDN
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Gender | Female
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 3724 JEFFERSON ST
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City | AUSTIN
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State | TX
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Zip | 78731-6225
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Country | US
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Telephone | 312-925-5779
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 HANKS ST
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City | LUFKIN
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State | TX
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Zip | 75904-5437
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Country | US
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Telephone |
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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 | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number | DT87063
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License Number State | TX
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