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General NPI Number Information
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NPI Number | 1639963341
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Entity Type | Individual
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Provider Name | RAHUL REDDY MUCHINTALA MD
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Gender | Male
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 1001 SAM PERRY BLVD
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-4453
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Country | US
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Telephone | 540-741-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 338 CULVER RD
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City | MONMOUTH JUNCTION
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State | NJ
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Zip | 08852-2816
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Country | US
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Telephone | 732-406-9809
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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 | 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 |
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