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General NPI Number Information
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NPI Number | 1730374471
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Entity Type | Organization
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Legal Business Name | GATTU N. RAO, P.C.
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 04/24/2020
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Provider Practice Location Address
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Address Line | 815 19TH ST FL 1
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City | WATERVLIET
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State | NY
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Zip | 12189-2019
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Country | US
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Telephone | 518-274-0345
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Fax | 518-274-0365
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Provider Business Mailing Address
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Address Line | 815 19TH ST FL 1
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City | WATERVLIET
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State | NY
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Zip | 12189-2019
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Country | US
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Telephone | 518-274-0345
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Fax | 518-274-0365
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Authorized Official
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Title or Position | OWNER
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Name | GATTU RAO
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Credential | MD
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Telephone | 518-274-0345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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