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General NPI Number Information
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NPI Number | 1720499825
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Entity Type | Individual
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Provider Name | VENKATA DURGA PRASAD DIDDI MD
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Gender | Male
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Dates
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Enumeration Date | 05/12/2014
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 8080 N STADIUM DR STE 180
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City | HOUSTON
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State | TX
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Zip | 77054-1830
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Country | US
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Telephone | 832-822-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 8080 N STADIUM DR STE 180
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City | HOUSTON
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State | TX
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Zip | 77054-1830
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Country | US
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Telephone |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DR0061222
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 925-L
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | R4211
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License Number State | TX
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