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General NPI Number Information
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NPI Number | 1851581870
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Entity Type | Organization
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Legal Business Name | REKHA VANKINENI MD
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 07/26/2007
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Provider Practice Location Address
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Address Line | 420 LOWELL DR SE STE 200
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City | HUNTSVILLE
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State | AL
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Zip | 35801-3763
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Country | US
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Telephone | 256-704-3571
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Fax | 256-704-3572
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Provider Business Mailing Address
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Address Line | 420 LOWELL DR SE STE 200
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City | HUNTSVILLE
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State | AL
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Zip | 35801-3763
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Country | US
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Telephone | 256-704-3571
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Fax | 256-704-3572
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Authorized Official
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Title or Position | CPC
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Name | REKHA VANKINENI
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Credential |
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Telephone | 256-704-3571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 11124
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License Number State | AL
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