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General NPI Number Information
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NPI Number | 1639543572
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Entity Type | Individual
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Provider Name | RASHMI TUNUGUNTLA D.O.
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Gender | Female
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Dates
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Enumeration Date | 11/16/2015
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 5730 PACKARD AVE STE 500
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City | MARYSVILLE
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State | CA
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Zip | 95901-7119
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Country | US
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Telephone | 530-749-3242
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Fax | 530-767-1020
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Provider Business Mailing Address
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Address Line | 1114 YUBA ST STE 220
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City | MARYSVILLE
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State | CA
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Zip | 95901-4838
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Country | US
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Telephone | 530-749-3242
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Fax | 530-749-3248
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 007595
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 20A15157
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CA
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