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General NPI Number Information
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NPI Number | 1497598577
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Entity Type | Individual
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Provider Name | AKSHARA KOTHAPALLY PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 1501 M ST NW STE 450
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City | WASHINGTON
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State | DC
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Zip | 20005-1726
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Country | US
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Telephone | 888-663-6331
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Fax | 415-252-7176
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Provider Business Mailing Address
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Address Line | 600 GRAVEL BROOK CT
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City | CARY
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State | NC
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Zip | 27519-6008
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Country | US
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Telephone | 919-518-4795
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1219612
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License Number State | NC
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