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General NPI Number Information
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NPI Number | 1427494087
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Entity Type | Organization
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Legal Business Name | SOWMYA PUTHALAPATTU PA
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Dates
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Enumeration Date | 05/22/2013
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Last Update Date | 05/22/2013
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Provider Practice Location Address
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Address Line | 22999 HIGHWAY 59 N STE. 124
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City | KINGWOOD
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State | TX
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Zip | 77339-4412
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Country | US
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Telephone | 713-401-9540
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Fax | 281-715-4046
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Provider Business Mailing Address
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Address Line | 22999 HIGHWAY 59 N STE. 124
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City | KINGWOOD
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State | TX
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Zip | 77339-4412
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Country | US
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Telephone | 713-401-9540
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Fax | 281-715-4046
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Authorized Official
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Title or Position | OWNER
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Name | SOWMYA PUTHALAPATTU
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Credential | MD
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Telephone | 713-589-4479
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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 | N1841
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License Number State | TX
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