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General NPI Number Information
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NPI Number | 1275715658
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Entity Type | Organization
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Legal Business Name | ARVIND PADUBIDRI, MD, INC
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Dates
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Enumeration Date | 11/28/2007
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Last Update Date | 05/31/2011
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Provider Practice Location Address
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Address Line | 1924 E MARKET ST
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City | WARREN
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State | OH
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Zip | 44483-6618
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Country | US
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Telephone | 330-392-7474
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Fax | 330-399-1733
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Provider Business Mailing Address
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Address Line | 1924 E MARKET ST
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City | WARREN
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State | OH
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Zip | 44483-6618
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Country | US
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Telephone | 330-392-7474
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Fax | 330-399-1733
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. ARVIND PADUBIDRI
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Credential | MD
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Telephone | 330-392-7474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35-07-7133P
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License Number State | OH
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