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General NPI Number Information
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NPI Number | 1356558175
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Entity Type | Individual
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Provider Name | CHANDAN GOPAL REDDY M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 400 CELEBRATION PL STE A360
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City | CELEBRATION
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State | FL
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Zip | 34747-4970
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Country | US
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Telephone | 407-975-0200
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Fax | 407-550-8045
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Provider Business Mailing Address
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Address Line | 265 E ROLLINS ST STE 12000
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City | ORLANDO
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State | FL
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Zip | 32804-5571
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Country | US
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Telephone | 407-975-0200
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Fax | 407-975-0209
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 53831
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | ME131814
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | R-7346
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 39093
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License Number State | IA
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