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General NPI Number Information
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NPI Number | 1710548284
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Entity Type | Individual
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Provider Name | MAHATI PARAVATHANENI MD
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Gender | Female
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Dates
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Enumeration Date | 06/25/2019
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 405 CHATHAM HEIGHTS RD
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City | FREDERICKSBURG
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State | VA
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Zip | 22405-2582
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Country | US
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Telephone | 540-300-6182
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Fax |
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Provider Business Mailing Address
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Address Line | 1340 CENTRAL PARK BLVD STE 100
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-4940
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Country | US
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Telephone | 540-741-4257
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 0101285265
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License Number State | VA
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