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General NPI Number Information
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NPI Number | 1881657294
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Entity Type | Organization
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Legal Business Name | ARVIND V PEDDADA MD PA
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 03/04/2019
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Provider Practice Location Address
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Address Line | 1810 W US HIGHWAY 82
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City | SHERMAN
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State | TX
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Zip | 75092-7069
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Country | US
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Telephone | 817-284-9850
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Fax | 817-720-9892
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Provider Business Mailing Address
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Address Line | PO BOX 733424
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City | DALLAS
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State | TX
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Zip | 75373-3424
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Country | US
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Telephone | 817-284-9850
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Fax | 817-284-3425
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARVIND V PEDDADA
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Credential | MD
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Telephone | 817-284-9850
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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 |
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License Number State |
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