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General NPI Number Information
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NPI Number | 1437274701
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Entity Type | Individual
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Provider Name | SAMRIDHI NARULA NALLAMSHETTY M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 08/30/2021
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Provider Practice Location Address
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Address Line | 2352 BRUCE B DOWNS BLVD STE 303
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-9203
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Country | US
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Telephone | 813-388-6855
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Fax | 813-355-5894
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Provider Business Mailing Address
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Address Line | 38135 MARKET SQ
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-7505
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Country | US
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Telephone | 813-528-4975
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | ME101592
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207KI0005X
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Taxonomy Name | Clinical & Laboratory Immunology (Allergy & Immunology) Physician
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License Number | ME101592
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME101592
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | ME101592
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | ME101592
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License Number State | FL
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