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General NPI Number Information
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NPI Number | 1366435927
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Entity Type | Individual
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Provider Name | GEETHANJALI K AKULA M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/29/2005
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 70 W GORE ST STE 100
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City | ORLANDO
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State | FL
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Zip | 32806-1124
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Country | US
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Telephone | 407-426-8484
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Fax | 407-447-5229
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Provider Business Mailing Address
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Address Line | PO BOX 102222 ATTN: CREDENTIALING
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City | ATLANTA
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State | GA
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Zip | 30368-2222
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Country | US
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Telephone | 239-274-8200
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Fax | 239-278-3350
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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 | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | ME60734
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | ME60734
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | ME60734
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License Number State | FL
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