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General NPI Number Information
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NPI Number | 1588933246
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Entity Type | Organization
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Legal Business Name | LONG TERM HEALTHCARE, PLLC
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Dates
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Enumeration Date | 12/23/2011
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Last Update Date | 12/23/2011
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Provider Practice Location Address
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Address Line | 3505 SAGE RD UNIT 1106
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City | HOUSTON
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State | TX
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Zip | 77056-7088
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Country | US
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Telephone | 832-752-7279
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Fax |
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Provider Business Mailing Address
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Address Line | 3505 SAGE RD UNIT 1106
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City | HOUSTON
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State | TX
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Zip | 77056-7088
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Country | US
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Telephone | 832-752-7279
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VANITHA V REDDY
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Credential | M.D.
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Telephone | 832-752-7279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207PE0005X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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