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General NPI Number Information
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NPI Number | 1356374417
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Entity Type | Individual
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Provider Name | GIRIDHAR UPPOOR ADIGA MD
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Gender | Male
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 08/02/2010
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Provider Practice Location Address
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Address Line | 460 N READING RD
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City | EPHRATA
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State | PA
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Zip | 17522-9606
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Country | US
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Telephone | 717-738-4070
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Fax | 717-738-3558
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Provider Business Mailing Address
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Address Line | 460 N READING RD
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City | EPHRATA
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State | PA
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Zip | 17522-9606
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Country | US
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Telephone | 717-738-4070
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Fax | 717-738-3558
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD439513
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License Number State | PA
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