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General NPI Number Information
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NPI Number | 1518787233
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Entity Type | Organization
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Legal Business Name | PADMAJA DONIPARTHI, MD, SC
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 9400 LAKEVIEW PKWY STE 124
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City | ROWLETT
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State | TX
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Zip | 75088-4401
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Country | US
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Telephone | 469-814-5960
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Fax | 469-814-5970
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Provider Business Mailing Address
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Address Line | 9330 LBJ FWY STE 800
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City | DALLAS
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State | TX
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Zip | 75243-4310
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Country | US
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Telephone | 972-792-5700
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | PADMAJA DONIPARTHI
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Credential | MD
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Telephone | 262-751-3076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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