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General NPI Number Information
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NPI Number | 1487633087
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Entity Type | Individual
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Provider Name | MOHANA R VELAGAPUDI M.D
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Gender | Male
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 525 VALLEY VIEW DR
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City | MOLINE
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State | IL
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Zip | 61265-6138
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Country | US
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Telephone | 309-764-5900
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Fax | 309-764-5926
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Provider Business Mailing Address
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Address Line | 525 VALLEY VIEW DR
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City | MOLINE
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State | IL
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Zip | 61265-6138
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Country | US
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Telephone | 309-764-5900
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Fax | 309-764-5926
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number |
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License Number State | IL
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