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General NPI Number Information
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NPI Number | 1326913476
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Entity Type | Individual
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Provider Name | VAMSI KRISHA POTLA MD
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Gender | Male
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 2225 EVESHAM ROAD VIRTUA HEALTH
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City | VOORHEES
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State | NJ
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Zip | 08043
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Country | US
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Telephone | 856-325-3737
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Fax | 856-325-3705
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Provider Business Mailing Address
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Address Line | 15-13-71, ROAD NUMBER: 9, BANK COLOLNY
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City | KHAMMAM
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State | TELENGANA
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Zip | 507002
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Country | IN
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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