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General NPI Number Information
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NPI Number | 1407297450
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Entity Type | Individual
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Provider Name | AMOGHAVARSHA PULI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2013
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Last Update Date | 03/05/2020
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Provider Practice Location Address
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Address Line | 3708 5TH AVE STE 501
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City | PITTSBURGH
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State | PA
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Zip | 15213-3427
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Country | US
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Telephone | 125-864-3550
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Fax |
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Provider Business Mailing Address
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Address Line | 3708 5TH AVE STE 501
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City | PITTSBURGH
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State | PA
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Zip | 15213-3427
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Country | US
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Telephone | 412-586-3550
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Fax |
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MD463442
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD463442
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License Number State | PA
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