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General NPI Number Information
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NPI Number | 1508702259
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Entity Type | Individual
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Provider Name | VAIBHAVA LAXMI SAKILAM MBBS
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Gender | Female
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 1004 E MAIN STE D
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City | PUYALLUP
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State | WA
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Zip | 98372-3199
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Country | US
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Telephone | 253-268-0720
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Fax |
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Provider Business Mailing Address
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Address Line | 3001 LOURIS LN
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-1791
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Country | US
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Telephone | 660-441-8230
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MDCE.ML.70126173
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License Number State | WA
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