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General NPI Number Information
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NPI Number | 1245215391
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Entity Type | Individual
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Provider Name | JOSEPH BATTULA REDDY M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 9456 CUYAMACA ST STE 102
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City | SANTEE
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State | CA
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Zip | 92071-5919
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Country | US
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Telephone | 619-588-4074
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Fax | 619-588-4004
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Provider Business Mailing Address
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Address Line | 6699 ALVARADO RD STE 2301
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City | SAN DIEGO
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State | CA
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Zip | 92120-5241
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Country | US
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Telephone | 619-588-4074
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Fax | 619-588-4004
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A46472
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License Number State | CA
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