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General NPI Number Information
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NPI Number | 1356515787
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Entity Type | Individual
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Provider Name | SENDIL KUMAR HARI PRASAD M.D
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Gender | Male
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Dates
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Enumeration Date | 04/16/2008
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Last Update Date | 08/14/2022
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Provider Practice Location Address
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Address Line | 132 E HOSPITAL DR
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City | ANGLETON
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State | TX
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Zip | 77515-4112
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Country | US
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Telephone | 979-849-7721
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Fax |
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Provider Business Mailing Address
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Address Line | 146 E HOSPITAL DR
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City | ANGLETON
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State | TX
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Zip | 77515-4169
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Country | US
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Telephone | 979-848-6050
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Fax | 979-848-6051
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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 | MD445147
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MT190374
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 45075
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | E 6631
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License Number State | AR
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Taxonomy #5
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | Q5536
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License Number State | TX
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