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General NPI Number Information
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NPI Number | 1447540950
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Entity Type | Individual
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Provider Name | ATHIRA UPENDRAN NAIR MD
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Gender | Female
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Dates
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Enumeration Date | 04/18/2011
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 2055 AIRPORT BLVD
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City | MOBILE
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State | AL
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Zip | 36606-1701
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Country | US
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Telephone | 251-234-1625
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Fax |
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Provider Business Mailing Address
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Address Line | 2055 AIRPORT BLVD
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City | MOBILE
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State | AL
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Zip | 36606-1701
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Country | US
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Telephone | 251-234-1625
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A142080
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | A142080
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 41706
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 41706
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License Number State | AL
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