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General NPI Number Information
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NPI Number | 1215213426
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Entity Type | Individual
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Provider Name | KAILASH VENKATAGIRI MURTHI PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2011
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Last Update Date | 11/01/2011
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Provider Practice Location Address
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Address Line | 5345 N IH 35
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City | AUSTIN
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State | TX
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Zip | 78723-2428
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Country | US
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Telephone | 512-800-0870
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 DUVAL RD APT 1532
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City | AUSTIN
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State | TX
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Zip | 78759-5426
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Country | US
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Telephone | 512-800-0870
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 48438
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License Number State | TX
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