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General NPI Number Information
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NPI Number | 1871728972
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Entity Type | Individual
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Provider Name | ANUPAMA KURRA M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/19/2009
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Last Update Date | 12/11/2020
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Provider Practice Location Address
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Address Line | 164 HOME ACRES AVE
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City | MILFORD
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State | CT
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Zip | 06460-3518
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Country | US
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Telephone | 203-296-2016
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Fax | 203-923-1010
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Provider Business Mailing Address
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Address Line | 164 HOME ACRES AVE
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City | MILFORD
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State | CT
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Zip | 06460-3518
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Country | US
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Telephone | 203-296-2016
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Fax | 203-923-1010
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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 | ME131125
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License Number State | FL
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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 | 52230
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License Number State | CT
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