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General NPI Number Information
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NPI Number | 1326241316
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Entity Type | Individual
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Provider Name | SANTHI PRIYA YALAMANCHILI M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 04/03/2024
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Provider Practice Location Address
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Address Line | 1300 W TERRELL AVE STE K230
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City | FORT WORTH
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State | TX
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Zip | 76104-3104
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Country | US
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Telephone | 817-250-4906
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Fax |
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Provider Business Mailing Address
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Address Line | 111 LAFAYETTE RD APT 529
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City | SYRACUSE
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State | NY
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Zip | 13205-2935
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Country | US
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Telephone | 315-492-8683
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | R5680
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R5680
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 002962
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2005019832
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License Number State | MO
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