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General NPI Number Information
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NPI Number | 1699079566
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Entity Type | Organization
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Legal Business Name | V. LAKSHMI ACHANTA MD.,PA
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Dates
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Enumeration Date | 01/06/2011
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Last Update Date | 11/25/2013
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Provider Practice Location Address
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Address Line | 12121 RICHMOND AVE STE 420
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City | HOUSTON
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State | TX
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Zip | 77082
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Country | US
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Telephone | 281-569-4647
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Fax | 281-569-4649
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Provider Business Mailing Address
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Address Line | 12121 RICHMOND AVE STE 420
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City | HOUSTON
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State | TX
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Zip | 77082-2439
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Country | US
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Telephone | 281-569-4647
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Fax | 281-569-4649
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Authorized Official
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Title or Position | PHYSICIAN OFFICER
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Name | DR. VENKATA LAKSHMI S ACHANTA
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Credential | M.D.
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Telephone | 281-725-2847
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | M7808
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License Number State | TX
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