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General NPI Number Information
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NPI Number | 1821195355
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Entity Type | Individual
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Provider Name | PAPARAO ADUSUMILLI M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4700 LAS VEGAS BLVD N NELLIS AFB.FEDERAL HOSPITAL.RADIOLOGY DEPT
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City | NELLIS AFB
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State | NV
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Zip | 89191-6600
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Country | US
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Telephone | 702-653-2112
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Fax | 702-653-2832
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Provider Business Mailing Address
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Address Line | 2010 RANCHO LAKE DR UNIT 205
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City | LAS VEGAS
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State | NV
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Zip | 89108-6477
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Country | US
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Telephone | 702-653-2112
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Fax | 702-653-2832
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | F8787
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License Number State | TX
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