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General NPI Number Information
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NPI Number | 1790879823
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Entity Type | Individual
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Provider Name | RADHIKA DONEPUDI M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 140 WEST KEMPER RD PHYSICIAN ASSOCIATES OF KEMPER, INC.
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City | CINCINNATI
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State | OH
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Zip | 45246-2530
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Country | US
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Telephone | 513-671-2902
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Fax | 513-671-2933
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Provider Business Mailing Address
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Address Line | 5770 KUGLER MILL RD
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City | CINCINNATI
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State | OH
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Zip | 45236-2040
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Country | US
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Telephone | 513-671-2902
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Fax | 513-671-2933
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35071677D
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License Number State | OH
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