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General NPI Number Information
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NPI Number | 1275535536
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Entity Type | Individual
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Provider Name | VINAY KUMAR PUCHALAPALLI REDDY MD
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Gender | Male
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 411 COMMERCIAL CT STE C
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City | VENICE
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State | FL
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Zip | 34292-1650
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Country | US
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Telephone | 813-333-5080
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Fax | 813-773-7717
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Provider Business Mailing Address
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Address Line | 938 CYPRESS VILLAGE BLVD STE A
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City | SUN CITY CENTER
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State | FL
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Zip | 33573-6835
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Country | US
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Telephone | 813-333-5080
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Fax | 813-773-7717
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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 | 172397
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License Number State | FL
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