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General NPI Number Information
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NPI Number | 1790913382
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Entity Type | Individual
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Provider Name | SIVA MOHAN KROTHAPALLI
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Gender | Male
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Dates
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Enumeration Date | 06/23/2009
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 2100 CENTERVILLE RD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4379
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Country | US
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Telephone | 850-216-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 1717 6TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35233-1801
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Country | US
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Telephone |
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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 | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 41376
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License Number State | AL
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