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General NPI Number Information
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NPI Number | 1699966887
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Entity Type | Individual
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Provider Name | VIJAYA LAXMI MURTHY MBBS
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Gender | Female
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 11/27/2019
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Provider Practice Location Address
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Address Line | 301 UNIVERSITY BLVD
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City | GALVESTON
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State | TX
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Zip | 77555-2287
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Country | US
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Telephone | 409-772-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 863 SKYSPRING LANE
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City | LEAGUE CITY
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State | TX
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Zip | 77573
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Country | US
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Telephone | 409-370-5358
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | P4490
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License Number State | TX
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