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NPI 1477175214

NPI 1477175214 : VIJAYA LAKSHMI VALAPARLA MD : GALVESTON, TX

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General NPI Number Information
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    NPI Number           |    1477175214
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    Entity Type          |    Individual 
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    Provider Name        |    VIJAYA LAKSHMI VALAPARLA MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/14/2020
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    Last Update Date     |    05/14/2020
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Provider Practice Location Address
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    Address Line         |    UTMB - NEUROLOGY - JSA 9.128 - RT. 0539 301 UNIVERSITY BLVD
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    City                 |    GALVESTON
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    State                |    TX
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    Zip                  |    77555-0539
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    Country              |    US
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    Telephone            |    401-772-8031
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    UTMB - NEUROLOGY - JSA 9.128 - RT. 0539 301 UNIVERSITY BLVD
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    City                 |    GALVESTON
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    State                |    TX
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    Zip                  |    77555-0539
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    Country              |    US
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    Telephone            |    401-772-8031
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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        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    BP10072588
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    License Number State |    TX
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