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General NPI Number Information
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NPI Number | 1801329230
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Entity Type | Individual
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Provider Name | ASHA KOVELAMUDI
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Gender | Female
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Dates
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Enumeration Date | 04/03/2017
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 1023 CANYON CREEK DR STE 105
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City | TEMPLE
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State | TX
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Zip | 76502-3278
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Country | US
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Telephone | 254-218-3737
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Fax |
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Provider Business Mailing Address
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Address Line | 1023 CANYON CREEK DR STE 105
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City | TEMPLE
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State | TX
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Zip | 76502-3278
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Country | US
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Telephone | 254-218-3737
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | S8595
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 32995
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License Number State | OK
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