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General NPI Number Information
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NPI Number | 1194828384
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Entity Type | Organization
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Legal Business Name | HARAVU D LOKESH MD PA
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 12/23/2011
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Provider Practice Location Address
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Address Line | 4804 ROWAN RD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-5609
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Country | US
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Telephone | 727-375-5242
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Fax | 727-375-5198
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Provider Business Mailing Address
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Address Line | 4804 ROWAN RD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-5609
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Country | US
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Telephone | 727-375-5242
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Fax | 727-375-5198
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Authorized Official
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Title or Position | OWNER / PROVIDER
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Name | DR. HARAVU LOKESH
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Credential | MD
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Telephone | 727-375-5242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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