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General NPI Number Information
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NPI Number | 1588963201
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Entity Type | Organization
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Legal Business Name | MADHURI GUIDPATY MD P.L.L.C
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Dates
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Enumeration Date | 03/21/2011
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Last Update Date | 08/08/2011
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Provider Practice Location Address
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Address Line | 1600 COIT RD SUITE 101
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City | PLANO
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State | TX
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Zip | 75075-6174
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Country | US
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Telephone | 972-867-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 VENTURA DR APT 116
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City | PLANO
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State | TX
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Zip | 75093-4005
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Country | US
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Telephone | 972-322-9719
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Fax |
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | MADHURI GUDIPATY
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Credential | MD
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Telephone | 972-322-9719
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | N5087
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License Number State | TX
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