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General NPI Number Information
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NPI Number | 1851529671
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Entity Type | Individual
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Provider Name | SATYA NAGA S S MANTRIPRAGADA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/01/2009
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Last Update Date | 08/16/2021
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Provider Practice Location Address
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Address Line | 650 HOWE AVE STE 100
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City | SACRAMENTO
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State | CA
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Zip | 95825-4732
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Country | US
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Telephone | 916-924-9337
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Fax | 916-924-8281
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Provider Business Mailing Address
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Address Line | 650 HOWE AVE STE 100
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City | SACRAMENTO
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State | CA
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Zip | 95825-4732
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Country | US
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Telephone | 916-924-9337
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Fax | 916-924-8281
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2012-01343
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | C153675
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License Number State | CA
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