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General NPI Number Information
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NPI Number | 1215928213
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Entity Type | Individual
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Provider Name | APARNA VELLANKI MD
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Gender | Female
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 502 RUE DE SANTE SUITE 206
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City | LA PLACE
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State | LA
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Zip | 70068-5424
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Country | US
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Telephone | 985-652-7774
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Fax | 985-652-7764
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Provider Business Mailing Address
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Address Line | PO BOX 419 ATTN: ELLEN
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City | GRAMERCY
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State | LA
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Zip | 70052-0419
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Country | US
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Telephone | 225-869-9200
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Fax | 225-869-9241
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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 | 14596R
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License Number State | LA
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