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General NPI Number Information
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NPI Number | 1265349682
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Entity Type | Individual
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Provider Name | IHIKA N/A LAGISETTY
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Gender | Female
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 830 S GLOSTER ST
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City | TUPELO
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State | MS
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Zip | 38801-4934
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Country | US
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Telephone | 662-377-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 3374 CONNORS DR
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-5075
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Country | US
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Telephone | 248-894-1214
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Fax |
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number |
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License Number State |
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