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General NPI Number Information
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NPI Number | 1629073606
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Entity Type | Individual
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Provider Name | SRIDEVI DONEPUDI M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 11/02/2016
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Provider Practice Location Address
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Address Line | 239 CHRISTIANA RD
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City | NEW CASTLE
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State | DE
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Zip | 19720-2907
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Country | US
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Telephone | 302-327-7630
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Fax |
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Provider Business Mailing Address
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Address Line | 200 HYGEIA DR SUITE 2300
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City | NEWARK
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State | DE
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Zip | 19713-2049
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Country | US
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Telephone |
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036108481
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 04-32448
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C1-0011878
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License Number State | DE
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