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General NPI Number Information
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NPI Number | 1851733711
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Entity Type | Individual
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Provider Name | SESHA KRISHNA KOTAPATI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2013
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Last Update Date | 06/09/2020
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Provider Practice Location Address
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Address Line | 3300 RIVERMONT AVE
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City | LYNCHBURG
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State | VA
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Zip | 24503-2030
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Country | US
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Telephone | 434-200-2251
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 W 11TH PL
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City | BIG SPRING
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State | TX
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Zip | 79720-4114
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Country | US
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Telephone | 432-269-6103
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | R2385
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2019047208
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101268074
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | FK6822200
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License Number State | TX
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