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General NPI Number Information
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NPI Number | 1881820025
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Entity Type | Individual
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Provider Name | PRAVEEN GUNTIPALLI MD
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Gender | Male
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Dates
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Enumeration Date | 06/02/2009
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Last Update Date | 06/15/2023
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Provider Practice Location Address
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Address Line | 5633 W LOVERS LN
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City | DALLAS
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State | TX
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Zip | 75209-4309
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Country | US
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Telephone | 214-245-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 5633 W LOVERS LN
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City | DALLAS
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State | TX
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Zip | 75209-4309
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Country | US
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Telephone | 214-245-9999
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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 | 207RB0002X
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Taxonomy Name | Obesity Medicine (Internal Medicine) Physician
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License Number | P3336
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | P3336
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | P3336
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License Number State | TX
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