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General NPI Number Information
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NPI Number | 1598540593
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Entity Type | Organization
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Legal Business Name | DR PREETI PC
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 165 NIGHTHAWK LN
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City | ROSEBURG
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State | OR
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Zip | 97471-7844
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Country | US
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Telephone | 563-508-2083
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Fax |
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Provider Business Mailing Address
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Address Line | 165 NIGHTHAWK LN
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City | ROSEBURG
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State | OR
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Zip | 97471-7844
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Country | US
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Telephone | 563-508-2083
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | PREETI SATYANARAYANA
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Credential | MD
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Telephone | 563-508-2083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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