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General NPI Number Information
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NPI Number | 1588814446
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Entity Type | Individual
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Provider Name | SARITHA PINGILI MD
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Gender | Female
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Dates
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Enumeration Date | 09/26/2008
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Last Update Date | 06/25/2014
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Provider Practice Location Address
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Address Line | 103 BARKLEDGE DR
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City | NEWINGTON
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State | CT
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Zip | 06111-2256
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Country | US
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Telephone | 516-233-0148
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Fax |
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Provider Business Mailing Address
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Address Line | 103 BARKLEDGE DR
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City | NEWINGTON
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State | CT
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Zip | 06111-2256
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Country | US
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Telephone | 516-233-0148
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 046729
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 46729
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License Number State | CT
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