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General NPI Number Information
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NPI Number | 1598944571
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Entity Type | Individual
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Provider Name | LAKSHMI VS TENNETI MD
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Gender | Female
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Dates
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Enumeration Date | 10/26/2007
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 1250 S CAPITAL OF TEXAS HWY BLDG 3
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-6446
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Country | US
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Telephone | 512-901-4010
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Fax | 512-901-3910
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Provider Business Mailing Address
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Address Line | 12221 N MOPAC EXPY
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City | AUSTIN
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State | TX
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Zip | 78758-2401
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Country | US
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Telephone | 512-901-4010
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Fax | 512-901-3910
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35.090701
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | E-6997
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | R9002
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License Number State | TX
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