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General NPI Number Information
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NPI Number | 1841421500
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Entity Type | Individual
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Provider Name | SARITHA BOYAPATI MD
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Gender | Female
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Dates
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Enumeration Date | 07/29/2009
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Last Update Date | 05/03/2022
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Provider Practice Location Address
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Address Line | 1450 5TH ST SE STE 3400
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City | PUYALLUP
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State | WA
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Zip | 98372-4638
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Country | US
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Telephone | 253-697-4740
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Fax |
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Provider Business Mailing Address
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Address Line | 901 N WINSTEAD AVE
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-8467
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Country | US
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Telephone | 318-675-5054
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 2013-01162
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MD60664587
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License Number State | WA
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