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General NPI Number Information
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NPI Number | 1710514187
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Entity Type | Individual
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Provider Name | RANI PRIYANKA VASIREDDY MD
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Gender | Female
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Dates
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Enumeration Date | 03/25/2020
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 700 OLYMPIC PLAZA CIR STE 904
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City | TYLER
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State | TX
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Zip | 75701-1958
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Country | US
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Telephone | 903-535-6092
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Fax |
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Provider Business Mailing Address
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Address Line | 700 OLYMPIC PLAZA CIR STE 904
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City | TYLER
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State | TX
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Zip | 75701-1958
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Country | US
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Telephone | 903-535-6092
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | V9990
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License Number State | TX
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