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General NPI Number Information
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NPI Number | 1316188519
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Entity Type | Individual
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Provider Name | SOWMYA PUTHALAPATTU M.D
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Gender | Female
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Dates
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Enumeration Date | 03/18/2009
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Last Update Date | 10/17/2017
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Provider Practice Location Address
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Address Line | 19502 MCKAY BLVD SUITE- 200
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City | HUMBLE
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State | TX
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Zip | 77338-5707
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Country | US
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Telephone | 281-540-8779
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Fax | 281-540-8798
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Provider Business Mailing Address
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Address Line | 201 KINGWOOD MEDICAL DR STE B200
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City | KINGWOOD
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State | TX
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Zip | 77339-6016
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Country | US
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Telephone | 281-401-9540
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N1841
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | N1841
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License Number State | TX
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