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General NPI Number Information
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NPI Number | 1215373006
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Entity Type | Individual
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Provider Name | HARIKA THUMMALA M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/20/2013
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 420 E 6TH ST STE 102
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City | ODESSA
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State | TX
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Zip | 79761-4537
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Country | US
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Telephone | 917-544-8188
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Fax |
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Provider Business Mailing Address
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Address Line | 3125 SAN SABA DR
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City | ODESSA
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State | TX
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Zip | 79765-5058
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Country | US
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Telephone | 917-544-8188
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | Q7291
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | Q7291
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License Number State | TX
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