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General NPI Number Information
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NPI Number | 1639439334
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Entity Type | Individual
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Provider Name | SHARMILA P DHULIPALLA M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/29/2012
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Last Update Date | 07/16/2020
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Provider Practice Location Address
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Address Line | 100 S VAN DORN ST APT C-219
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City | ALEXANDRIA
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State | VA
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Zip | 22304-4341
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Country | US
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Telephone | 571-484-6470
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 VARNUM ST NE
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City | WASHINGTON
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State | DC
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Zip | 20017-2104
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Country | US
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Telephone | 202-269-7000
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 201650
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License Number State | DC
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