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General NPI Number Information
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NPI Number | 1245356419
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Entity Type | Individual
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Provider Name | HARITHA NARLA M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/17/2011
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Provider Practice Location Address
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Address Line | 6161 KEMPSVILLE CIR STE 225
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City | NORFOLK
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State | VA
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Zip | 23502-3932
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Country | US
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Telephone | 757-455-6368
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Fax | 757-455-6686
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Provider Business Mailing Address
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Address Line | PO BOX 7068
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City | PORTSMOUTH
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State | VA
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Zip | 23707-0068
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Country | US
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Telephone | 757-686-3508
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Fax | 757-686-0541
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 23249
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License Number State | WV
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