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General NPI Number Information
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NPI Number | 1669614764
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Entity Type | Individual
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Provider Name | BINDYA REDDY D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/03/2009
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Last Update Date | 05/14/2010
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Provider Practice Location Address
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Address Line | 2511 TRIMMIER RD STE 170
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City | KILLEEN
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State | TX
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Zip | 76542-1937
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Country | US
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Telephone | 254-501-3234
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Fax |
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Provider Business Mailing Address
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Address Line | 1218 SW MILITARY DR
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City | SAN ANTONIO
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State | TX
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Zip | 78221-1535
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Country | US
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Telephone | 210-928-2814
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 57530
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 25221
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License Number State | TX
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