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General NPI Number Information
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NPI Number | 1730914714
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Entity Type | Individual
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Provider Name | MRS. SUNITHA MARAM REDDY
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Gender | Female
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Dates
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Enumeration Date | 09/07/2024
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Last Update Date | 09/07/2024
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Provider Practice Location Address
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Address Line | 5141 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10034-1159
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Country | US
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Telephone | 212-932-4052
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Fax |
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Provider Business Mailing Address
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Address Line | 73 W RIDGEWOOD AVE
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City | PARAMUS
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State | NJ
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Zip | 07652-2203
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Country | US
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Telephone | 201-757-9032
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 043125-01
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License Number State | NY
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