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General NPI Number Information
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NPI Number | 1568703544
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Entity Type | Organization
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Legal Business Name | SAI P. GUTTI
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Dates
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Enumeration Date | 03/15/2013
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Last Update Date | 03/15/2013
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Provider Practice Location Address
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Address Line | 515 N BYPASS RD SUITE 101
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City | PIKEVILLE
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State | KY
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Zip | 41501-1331
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Country | US
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Telephone | 606-437-4100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2158
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City | PIKEVILLE
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State | KY
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Zip | 41502-2158
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Country | US
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Telephone | 606-437-4100
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. SAI P GUTTI
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Credential | MD
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Telephone | 606-437-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | 29929
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License Number State | KY
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