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General NPI Number Information
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NPI Number | 1780658708
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Entity Type | Individual
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Provider Name | HIMABINDU RAMASAHAYA REDDY MD
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Gender | Female
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 11/01/2019
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Provider Practice Location Address
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Address Line | 5450 CLEARFORK MAIN ST STE 200
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City | FORT WORTH
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State | TX
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Zip | 76109-3562
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Country | US
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Telephone | 817-336-7191
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Fax | 817-419-8840
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Provider Business Mailing Address
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Address Line | 5450 CLEARFORK MAIN ST STE 200
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City | FORT WORTH
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State | TX
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Zip | 76109-3562
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Country | US
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Telephone | 817-336-7191
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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 | M2040
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License Number State | TX
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