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General NPI Number Information
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NPI Number | 1861648651
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Entity Type | Individual
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Provider Name | ANITA K DANDAMUDI MD
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Gender | Female
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Dates
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Enumeration Date | 08/12/2008
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Last Update Date | 04/22/2016
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Provider Practice Location Address
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Address Line | 300 20TH AVE N 7TH, 8TH AND 9TH FLOOR
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City | NASHVILLE
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State | TN
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Zip | 37203-2131
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Country | US
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Telephone | 615-284-1450
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Fax |
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Provider Business Mailing Address
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Address Line | 2215 ABBOTT MARTIN RD UNIT 111
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City | NASHVILLE
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State | TN
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Zip | 37215-2527
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Country | US
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Telephone | 312-505-0853
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 125053760
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 53499
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License Number State | TN
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