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General NPI Number Information
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NPI Number | 1568514289
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Entity Type | Individual
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Provider Name | HARI CHARAN PABBATHI REDDY MD
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Gender | Male
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 09/09/2022
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Provider Practice Location Address
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Address Line | 1746 COLE BLVD SUITE 150
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City | LAKEWOOD
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State | CO
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Zip | 80401-3208
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Country | US
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Telephone | 614-638-0139
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Fax |
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Provider Business Mailing Address
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Address Line | 1746 COLE BLVD SUITE 150
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City | LAKEWOOD
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State | CO
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Zip | 80401-3208
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Country | US
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Telephone | 614-638-0139
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | D65354
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35.083810
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 4301093331
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 49464
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License Number State | CO
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