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General NPI Number Information
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NPI Number | 1205581592
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Entity Type | Individual
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Provider Name | HIMA BINDU LEDALLA MD
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Gender | Female
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Dates
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Enumeration Date | 02/16/2022
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 1 HOSPITAL DR SW
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City | HUNTSVILLE
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State | AL
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Zip | 35801-6455
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Country | US
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Telephone | 256-429-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 1 HOSPITAL DR SW
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City | HUNTSVILLE
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State | AL
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Zip | 35801-6455
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Country | US
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Telephone | 256-429-4000
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2020027754
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2020027754
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | L.6211R
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R79160
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License Number State | AZ
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