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General NPI Number Information
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NPI Number | 1760484299
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Entity Type | Individual
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Provider Name | BHAVANI LAGADAPATI MD
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Gender | Female
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Dates
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Enumeration Date | 08/15/2005
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Last Update Date | 02/05/2015
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Provider Practice Location Address
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Address Line | 101 LATTNER CT SUITE 100
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City | MORRISVILLE
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State | NC
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Zip | 27560-6843
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Country | US
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Telephone | 919-297-0348
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Fax | 919-297-0349
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Provider Business Mailing Address
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Address Line | 2501 ATRIUM DR SUITE 305
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City | RALEIGH
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State | NC
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Zip | 27607-6452
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Country | US
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Telephone | 919-297-0348
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Fax | 919-297-0349
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2007-01007
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License Number State | NC
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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 | 38359
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License Number State | KY
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