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General NPI Number Information
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NPI Number | 1215128020
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Entity Type | Individual
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Provider Name | SHIRISHA RANI JANUMPALLY M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 44902 10TH ST W
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City | LANCASTER
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State | CA
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Zip | 93534-2314
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Country | US
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Telephone | 661-305-2853
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Fax |
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Provider Business Mailing Address
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Address Line | 3022 WILLIAMS DR STE 100
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City | FAIRFAX
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State | VA
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Zip | 22031-4600
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Country | US
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Telephone | 661-305-2853
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A87490
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 0101251431
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License Number State | VA
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