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General NPI Number Information
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NPI Number | 1689623597
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Entity Type | Individual
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Provider Name | NAMITA TULI MD
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Gender | Female
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 12/07/2011
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Provider Practice Location Address
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Address Line | 10141 US 59TH
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City | WHARTON
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State | TX
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Zip | 77488-7224
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Country | US
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Telephone | 979-531-0101
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1368
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City | MUSTANG
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State | OK
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Zip | 73064-8368
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Country | US
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Telephone | 405-745-9600
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | P0802
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | D0063730
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License Number State | MD
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