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General NPI Number Information
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NPI Number | 1659491561
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Entity Type | Organization
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Legal Business Name | EREN AND ATLURI, MDS,LLC
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 01/21/2010
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Provider Practice Location Address
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Address Line | 8109 RITCHIE HWY
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City | PASADENA
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State | MD
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Zip | 21122-6917
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Country | US
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Telephone | 410-768-3936
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Fax | 410-766-6683
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Provider Business Mailing Address
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Address Line | PO BOX 96
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City | GLEN BURNIE
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State | MD
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Zip | 21060-0096
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Country | US
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Telephone | 800-799-5916
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Fax | 410-309-0113
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Authorized Official
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Title or Position | PARTNER
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Name | DR. SRIDHAR ATLURI
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Credential | MD
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Telephone | 800-799-5916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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