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General NPI Number Information
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NPI Number | 1619123379
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Entity Type | Organization
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Legal Business Name | DR. INDIRA VEMURI, P.C.
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 17705 HALE AVE STE I1
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City | MORGAN HILL
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State | CA
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Zip | 95037-4348
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Country | US
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Telephone | 408-776-9560
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Fax |
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Provider Business Mailing Address
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Address Line | 17705 HALE AVE STE I1
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City | MORGAN HILL
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State | CA
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Zip | 95037-4348
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Country | US
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Telephone | 408-776-9560
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | INDIRA VEMURI
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Credential | M.D.
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Telephone | 408-776-9560
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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 | A80970
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License Number State | CA
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