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General NPI Number Information
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NPI Number | 1437446341
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Entity Type | Individual
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Provider Name | SARA MUNJAMPALLI M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/30/2011
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 7600 FERN AVE STE 700A
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City | SHREVEPORT
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State | LA
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Zip | 71105-5673
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Country | US
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Telephone | 318-657-0187
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Fax | 318-404-1510
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Provider Business Mailing Address
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Address Line | 7600 FERN AVE STE 700
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City | SHREVEPORT
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State | LA
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Zip | 71105-5673
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Country | US
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Telephone | 318-657-0187
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Fax | 318-404-1510
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 125-060625
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number | 208229
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number | MD208229
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License Number State | LA
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