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General NPI Number Information
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NPI Number | 1346551827
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Entity Type | Individual
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Provider Name | MADHAVI CHITTIREDDY R.PH
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Gender | Female
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Dates
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Enumeration Date | 06/29/2010
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Last Update Date | 06/29/2010
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Provider Practice Location Address
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Address Line | 300 MARTIN LUTHER KING JR BLVD
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City | BALTIMORE
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State | MD
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Zip | 21201-1211
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Country | US
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Telephone | 410-539-2532
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Fax |
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Provider Business Mailing Address
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Address Line | 6 CANOGA PL APT# 1B
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City | BALTIMORE
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State | MD
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Zip | 21236-3252
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Country | US
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Telephone | 443-824-8289
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 16973
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 63886
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License Number State | CA
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