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General NPI Number Information
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NPI Number | 1679984926
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Entity Type | Individual
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Provider Name | BINDU MADHAVI MUDDULURU MD
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Gender | Female
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Dates
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Enumeration Date | 05/08/2014
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 2301 S HAMPTON RD STE 900
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City | DALLAS
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State | TX
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Zip | 75224-1677
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Country | US
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Telephone | 214-330-9201
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Fax | 214-339-9577
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Provider Business Mailing Address
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Address Line | 2301 S HAMPTON RD STE 900
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City | DALLAS
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State | TX
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Zip | 75224-1677
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Country | US
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Telephone | 214-330-9201
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Fax | 214-339-9577
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 244202
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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 | T4662
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License Number State | TX
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