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General NPI Number Information
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NPI Number | 1730640095
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Entity Type | Individual
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Provider Name | SRAVANA K PALADUGU
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Gender | Female
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Dates
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Enumeration Date | 03/28/2019
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Last Update Date | 08/04/2022
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Provider Practice Location Address
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Address Line | 12400 DALLAS PKWY
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City | FRISCO
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State | TX
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Zip | 75033-4224
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Country | US
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Telephone | 469-495-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 3816 HASKELL CT
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City | DALLAS
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State | TX
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Zip | 75204-1511
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Country | US
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Telephone | 727-631-6862
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | S9371
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License Number State | TX
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