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General NPI Number Information
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NPI Number | 1750902607
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Entity Type | Individual
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Provider Name | ADARSH SAI VANGALA MD
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Gender | Male
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Dates
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Enumeration Date | 05/01/2020
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 4901 LANG AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4397
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Country | US
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Telephone | 505-842-8171
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Fax |
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Provider Business Mailing Address
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Address Line | 4901 LANG AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4397
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Country | US
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Telephone | 505-842-8171
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD2023-1009
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD2023-1009
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License Number State | NM
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