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General NPI Number Information
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NPI Number | 1477798718
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Entity Type | Individual
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Provider Name | SOUJANYA DONTHU MD
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Gender | Female
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Dates
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Enumeration Date | 12/15/2008
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Last Update Date | 04/28/2014
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Provider Practice Location Address
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Address Line | 5881 VIRGINIA PKWY STE 300
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City | MCKINNEY
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State | TX
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Zip | 75071-5402
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Country | US
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Telephone | 972-369-0214
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Fax | 972-369-0710
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Provider Business Mailing Address
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Address Line | 5881 VIRGINIA PKWY STE 300
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City | MCKINNEY
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State | TX
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Zip | 75071-5402
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Country | US
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Telephone | 972-369-0214
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Fax | 972-369-0710
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD439947
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | MT187960
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License Number State | PA
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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 | N7536
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License Number State | TX
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