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General NPI Number Information
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NPI Number | 1831337070
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Entity Type | Organization
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Legal Business Name | ANJANI D. NARRA MD LLC
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Dates
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Enumeration Date | 01/26/2009
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Last Update Date | 01/26/2009
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Provider Practice Location Address
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Address Line | 4428 NORTH BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70806-3917
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Country | US
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Telephone | 225-802-9898
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Fax |
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Provider Business Mailing Address
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Address Line | 19431 N MUIRFIELD CIR
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City | BATON ROUGE
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State | LA
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Zip | 70810-5986
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Country | US
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Telephone | 225-752-4755
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Fax | 225-753-2226
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | MRS. ANJANI D. NARRA
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Credential | M.D.
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Telephone | 225-752-4755
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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 | AN05559R
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License Number State | LA
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