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General NPI Number Information
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NPI Number | 1659406684
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Entity Type | Organization
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Legal Business Name | R.R. VEMURI, M.D.
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13225 NORTHLINE RD
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City | SOUTHGATE
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State | MI
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Zip | 48195-1070
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Country | US
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Telephone | 734-284-4555
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Fax | 734-284-6174
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Provider Business Mailing Address
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Address Line | 13225 NORTHLINE RD
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City | SOUTHGATE
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State | MI
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Zip | 48195-1070
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Country | US
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Telephone | 734-284-4555
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Fax | 734-284-6174
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Authorized Official
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Title or Position | MEDICAL BILLER
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Name | MRS. TAMMY GUTOWSKI
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Credential |
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Telephone | 734-284-7563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | RV050423
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License Number State | MI
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