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General NPI Number Information
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NPI Number | 1548247752
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Entity Type | Individual
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Provider Name | LOKESH G REDDY MD
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Gender | Male
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Dates
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Enumeration Date | 12/29/2005
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Last Update Date | 11/06/2019
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Provider Practice Location Address
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Address Line | 688 WHITE PLAINS RD STE 221
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City | SCARSDALE
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State | NY
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Zip | 10583-5015
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Country | US
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Telephone | 914-723-7202
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Fax | 914-725-7457
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Provider Business Mailing Address
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Address Line | 20 LEGENDARY CIR
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City | RYE BROOK
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State | NY
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Zip | 10573-1077
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Country | US
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Telephone | 914-723-7202
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Fax | 914-725-7457
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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 | 192480
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License Number State | NY
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