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General NPI Number Information
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NPI Number | 1407178114
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Entity Type | Organization
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Legal Business Name | R.R. YALAMANCHILI, MD, PA
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Dates
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Enumeration Date | 02/22/2010
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Last Update Date | 08/11/2010
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Provider Practice Location Address
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Address Line | 21212 NORTHWEST FWY SUITE 625
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City | CYPRESS
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State | TX
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Zip | 77429-5884
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Country | US
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Telephone | 281-955-7055
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Fax | 281-890-2341
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Provider Business Mailing Address
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Address Line | 21212 NORTHWEST FWY SUITE 625
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City | CYPRESS
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State | TX
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Zip | 77429-5884
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Country | US
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Telephone | 281-955-7055
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Fax | 281-890-2341
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Authorized Official
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Title or Position | FAMILY PRACTICE
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Name | DR. RAJASEKHARA R YALAMANCHILI
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Credential | M.D.
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Telephone | 281-955-7055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G7744
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License Number State | TX
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