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General NPI Number Information
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NPI Number | 1780706820
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Entity Type | Individual
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Provider Name | PRASHANTH PARAMESH SANTHEKADUR MD
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Gender | Male
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 11055 LITTLE PATUXENT PKWY SUITE 209
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City | COLUMBIA
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State | MD
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Zip | 21044-2896
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Country | US
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Telephone | 410-884-1311
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Fax | 410-884-6033
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Provider Business Mailing Address
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Address Line | PO BOX 2377
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City | ELLICOTT CITY
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State | MD
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Zip | 21041-2377
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Country | US
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Telephone | 410-884-1311
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Fax | 410-884-6033
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | D0066350
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License Number State | MD
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