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General NPI Number Information
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NPI Number | 1457305807
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Entity Type | Organization
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Legal Business Name | REDDY & ASSOCIATES PC
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 05/03/2024
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Provider Practice Location Address
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Address Line | 7600 CENTRAL AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19111-2442
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Country | US
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Telephone | 215-725-7600
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Fax | 215-725-7700
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Provider Business Mailing Address
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Address Line | PO BOX 57155
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City | PHILADELPHIA
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State | PA
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Zip | 19111-7155
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Country | US
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Telephone | 215-725-7600
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Fax | 215-725-7700
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Authorized Official
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Title or Position | PROJECTS MANAGER
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Name | MS. SHALIMAR M REDDY
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Credential |
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Telephone | 215-694-0094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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