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General NPI Number Information
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NPI Number | 1558451385
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Entity Type | Individual
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Provider Name | SANJAY DODDAMANI MD
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 3906 N WESTMORELAND RD
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City | DALLAS
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State | TX
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Zip | 75212-1350
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Country | US
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Telephone | 214-638-2196
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Fax |
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Provider Business Mailing Address
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Address Line | 100 N ACADEMY AVE 5HFAM, CARDIOLOGY
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City | DANVILLE
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State | PA
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Zip | 17822-9800
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Country | US
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Telephone | 570-214-1991
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Fax | 570-214-1480
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 002296
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | S6385
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License Number State | TX
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