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General NPI Number Information
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NPI Number | 1609667781
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Entity Type | Organization
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Legal Business Name | ALLEN PRIMARY CARE PLLC
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 931 STATE HIGHWAY 121 APT 2500
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City | ALLEN
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State | TX
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Zip | 75013-1183
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Country | US
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Telephone | 469-270-6430
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Fax | 469-270-6431
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Provider Business Mailing Address
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Address Line | 931 STATE HIGHWAY 121 APT 2500
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City | ALLEN
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State | TX
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Zip | 75013-1183
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Country | US
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Telephone | 469-270-6430
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Fax | 469-270-6431
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Authorized Official
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Title or Position | DOCTOR
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Name | MR. SREEDHAR REDDY TALLAPUREDDY
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Credential | MD
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Telephone | 860-324-3219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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