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General NPI Number Information
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NPI Number | 1871161703
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Entity Type | Individual
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Provider Name | SAI VARNSI KRISHNA ELAPROLU LGPC
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Gender | Male
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Dates
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Enumeration Date | 06/16/2021
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Last Update Date | 06/17/2021
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Provider Practice Location Address
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Address Line | 2661 RIVA RD STE 601
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7343
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Country | US
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Telephone | 443-684-0100
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Fax | 410-295-7590
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Provider Business Mailing Address
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Address Line | 2661 RIVA RD STE 601
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7343
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Country | US
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Telephone |
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Fax | 410-295-7590
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LGP10027
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License Number State | MD
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