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General NPI Number Information
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NPI Number | 1548897002
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Entity Type | Individual
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Provider Name | PAVANA LALITHYA SAKHAMURI
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Gender | Female
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Dates
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Enumeration Date | 03/25/2020
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 1211 COOLIDGE BLVD STE 203
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City | LAFAYETTE
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State | LA
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Zip | 70503-2637
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Country | US
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Telephone | 337-703-6383
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Fax |
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Provider Business Mailing Address
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Address Line | 1211 COOLIDGE BLVD STE 203
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City | LAFAYETTE
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State | LA
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Zip | 70503-2637
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Country | US
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Telephone | 337-703-6383
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 347151
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License Number State | LA
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