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General NPI Number Information
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NPI Number | 1811233273
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Entity Type | Organization
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Legal Business Name | KALPANA K REDDY MD FACP PC
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Dates
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Enumeration Date | 12/12/2012
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Last Update Date | 02/12/2013
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Provider Practice Location Address
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Address Line | 6970 W PATRICK LN #140
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City | LAS VEGAS
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State | NV
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Zip | 89113-0269
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Country | US
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Telephone | 702-450-1717
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Fax |
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Provider Business Mailing Address
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Address Line | 500 N RAINBOW BLVD #300
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City | LAS VEGAS
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State | NV
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Zip | 89107-1082
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Country | US
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Telephone | 702-450-1717
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KALPANA K REDDY
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Credential | MD
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Telephone | 702-485-9239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 12740
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License Number State | NV
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