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General NPI Number Information
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NPI Number | 1649239864
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Entity Type | Individual
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Provider Name | UMA SHANKAR VENKATA VALETI M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 05/22/2014
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Provider Practice Location Address
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Address Line | 516 DELAWARE STREET SE UMP CARDIOVASCULAR CENTER
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City | MINNEAPOLIS
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State | MN
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Zip | 55455
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Country | US
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Telephone | 612-625-3600
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Fax | 612-625-7627
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Provider Business Mailing Address
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Address Line | 420 DELAWARE ST SE MMC 508
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City | MINNEAPOLIS
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State | MN
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Zip | 55455-0341
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Country | US
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Telephone | 612-625-7924
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Fax | 612-626-4411
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 44124
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License Number State | MN
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