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General NPI Number Information
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NPI Number | 1821393836
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Entity Type | Organization
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Legal Business Name | REDDYMED LLC
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Dates
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Enumeration Date | 01/22/2011
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Last Update Date | 01/22/2011
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Provider Practice Location Address
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Address Line | 600 E DIXIE AVE
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City | LEESBURG
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State | FL
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Zip | 34748-5925
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Country | US
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Telephone | 407-375-4925
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Fax |
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Provider Business Mailing Address
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Address Line | 9608 WEATHERSTONE CT
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City | WINDERMERE
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State | FL
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Zip | 34786-8105
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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 | PHYSICIAN
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Name | NAVIN REDDY
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Credential |
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Telephone | 917-553-0993
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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 |
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License Number State |
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