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General NPI Number Information
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NPI Number | 1376693606
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Entity Type | Organization
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Legal Business Name | RHEUMATOLOGY AND ARTHRITIS CLINIC, P.C
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 04/03/2018
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Provider Practice Location Address
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Address Line | 400 WHITESPORT DR SW STE 101
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City | HUNTSVILLE
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State | AL
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Zip | 35801-6429
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Country | US
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Telephone | 256-880-4077
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Fax | 256-880-5277
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Provider Business Mailing Address
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Address Line | 400 WHITESPORT DR SW STE 101
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City | HUNTSVILLE
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State | AL
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Zip | 35801-6429
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Country | US
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Telephone | 256-880-4077
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Fax | 256-880-5277
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Authorized Official
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Title or Position | OWNER/MD
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Name | VIJAYANARAYANA RAO JAMPALA
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Credential | MD
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Telephone | 256-880-4077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 00026049
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License Number State | AL
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