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General NPI Number Information
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NPI Number | 1841390804
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Entity Type | Individual
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Provider Name | LALITHA PIRATLA M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 04/30/2009
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Provider Practice Location Address
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Address Line | 102 JAMES ST
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City | EDISON
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State | NJ
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Zip | 08820-3970
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Country | US
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Telephone | 732-321-7668
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2029 MENLO PARK STATION
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City | EDISON
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State | NJ
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Zip | 08818-2029
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Country | US
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Telephone | 732-494-1444
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 68656
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License Number State | NJ
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