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General NPI Number Information
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NPI Number | 1689810541
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Entity Type | Individual
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Provider Name | LAKSHMI REDDY
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Gender | Female
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Dates
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Enumeration Date | 12/25/2008
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Last Update Date | 06/06/2022
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Provider Practice Location Address
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Address Line | 76 MADISON AVE APT 8A
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City | NEW YORK
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State | NY
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Zip | 10016-8725
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Country | US
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Telephone | 585-314-8735
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Fax |
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Provider Business Mailing Address
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Address Line | 1330 1ST AVE APT 627
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City | NEW YORK
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State | NY
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Zip | 10021-4782
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Country | US
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Telephone | 585-314-8735
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 251517
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License Number State | NY
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Taxonomy #2
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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 |
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License Number State |
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