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General NPI Number Information
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NPI Number | 1225367659
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Entity Type | Organization
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Legal Business Name | SHALINI KATIKANENI MD PA
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Dates
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Enumeration Date | 12/14/2009
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Last Update Date | 12/14/2009
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Provider Practice Location Address
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Address Line | 7509 NEW HEART DR
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City | PLANO
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State | TX
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Zip | 75024-3973
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Country | US
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Telephone | 972-816-2937
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Fax |
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Provider Business Mailing Address
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Address Line | 7509 NEW HEART DR
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City | PLANO
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State | TX
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Zip | 75024-3973
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Country | US
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Telephone | 972-816-2937
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | SHALINI KATIKANENI
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Credential | MD
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Telephone | 972-816-2937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | N0878
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License Number State | TX
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