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General NPI Number Information
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NPI Number | 1891711909
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Entity Type | Individual
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Provider Name | SUJATA LALLA REDDY M.D
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Gender | Female
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 9940 TALBERT AVE STE 101
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-5153
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Country | US
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Telephone | 949-478-1894
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Fax | 949-296-9878
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Provider Business Mailing Address
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Address Line | PO BOX 11629
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City | NEWPORT BEACH
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State | CA
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Zip | 92658-5036
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Country | US
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Telephone | 714-968-6789
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Fax | 714-202-2626
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | A75875
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License Number State | CA
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