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General NPI Number Information
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NPI Number | 1285613133
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Entity Type | Individual
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Provider Name | DEVENDER N AKULA MD
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Gender | Male
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Dates
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Enumeration Date | 01/10/2006
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Last Update Date | 08/13/2021
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Provider Practice Location Address
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Address Line | 2500 ENGLISH CREEK AVE. BLDG 200, STE 211
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City | EGG HARBOR TOWNSHIP
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State | NJ
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Zip | 08234
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Country | US
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Telephone | 609-677-7776
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Fax | 609-677-7509
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Provider Business Mailing Address
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Address Line | 2500 ENGLISH CREEK AVE. BLDG 200, STE 211
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City | EGG HARBOR TOWNSHIP
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State | NJ
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Zip | 08234
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Country | US
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Telephone | 609-677-7776
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Fax | 856-428-5748
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25MA07142700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 25MA07142700
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License Number State | NJ
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