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General NPI Number Information
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NPI Number | 1255543278
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Entity Type | Individual
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Provider Name | PRAJWAL CHEVIREDDY M.D
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 04/16/2018
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Provider Practice Location Address
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Address Line | 9601 BAPTIST HEALTH DR STE 350
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City | LITTLE ROCK
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State | AR
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Zip | 72205-6356
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Country | US
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Telephone | 501-224-2141
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Fax | 501-224-0506
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Provider Business Mailing Address
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Address Line | 9601 BAPTIST HEALTH DR STE 400
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City | LITTLE ROCK
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State | AR
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Zip | 72205-6399
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Country | US
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Telephone | 501-224-2141
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Fax | 501-224-0506
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | E5630
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License Number State | AR
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