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General NPI Number Information
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NPI Number | 1679599237
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Entity Type | Individual
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Provider Name | UDAY DOPPALAPUDI M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 06/15/2022
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Provider Practice Location Address
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Address Line | 407 N BROWN ST
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-5710
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Country | US
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Telephone | 803-995-8936
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Fax | 803-995-8851
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Provider Business Mailing Address
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Address Line | 169 LAURELHURST AVE
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City | COLUMBIA
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State | SC
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Zip | 29210-3825
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Country | US
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Telephone | 803-733-5969
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Fax | 803-753-5591
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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 | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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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 | 23977
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License Number State | SC
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