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General NPI Number Information
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NPI Number | 1679644801
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Entity Type | Organization
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Legal Business Name | VANGALA J. REDDY, M.D. P.A.
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 03/17/2008
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Provider Practice Location Address
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Address Line | 3111-A CENTER POINTE
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City | EDINBURG
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State | TX
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Zip | 78539-2437
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Country | US
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Telephone | 956-687-8424
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Fax |
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Provider Business Mailing Address
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Address Line | 3111-A CENTER POINTE
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City | EDINBURG
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State | TX
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Zip | 78539-2437
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Country | US
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Telephone | 956-687-8424
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DR. JEANETTE GARCIA
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Credential |
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Telephone | 956-687-8424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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