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General NPI Number Information
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NPI Number | 1720704984
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Entity Type | Organization
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Legal Business Name | NIRUPAMA TAMIRISA MD PLLC
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Dates
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Enumeration Date | 10/18/2022
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Last Update Date | 10/18/2022
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Provider Practice Location Address
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Address Line | 166 YAUPON TRL
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City | SAN ANTONIO
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State | TX
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Zip | 78256-1625
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Country | US
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Telephone | 210-646-1610
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Fax |
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Provider Business Mailing Address
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Address Line | 166 YAUPON TRL
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City | SAN ANTONIO
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State | TX
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Zip | 78256-1625
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Country | US
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Telephone | 210-646-1610
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Fax |
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Authorized Official
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Title or Position | OWNER OF ENTITY
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Name | NIRUPAMA TAMIRISA
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Credential | MD
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Telephone | 916-662-3823
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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 |
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License Number State |
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