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General NPI Number Information
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NPI Number | 1427429273
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Entity Type | Organization
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Legal Business Name | DEEPA NADIGA MD
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Dates
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Enumeration Date | 10/19/2015
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Last Update Date | 10/19/2015
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Provider Practice Location Address
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Address Line | 1475 CENTRAL AVE STE 220
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City | LOS ALAMOS
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State | NM
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Zip | 87544-4207
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Country | US
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Telephone | 505-661-9923
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Fax |
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Provider Business Mailing Address
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Address Line | 1475 CENTRAL AVE STE 220
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City | LOS ALAMOS
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State | NM
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Zip | 87544-4207
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Country | US
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Telephone | 505-661-9923
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. DEEPA NADIGA
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Credential |
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Telephone | 505-661-9923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2000-79
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License Number State | NM
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