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General NPI Number Information
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NPI Number | 1912978081
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Entity Type | Individual
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Provider Name | NAGAMANI P REDDY MD
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Gender | Female
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 04/05/2024
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Provider Practice Location Address
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Address Line | 3510 HOBSON RD STE 305
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City | WOODRIDGE
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State | IL
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Zip | 60517-1442
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Country | US
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Telephone | 630-515-1050
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Fax | 630-515-1051
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Provider Business Mailing Address
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Address Line | 3510 HOBSON RD STE 305
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City | WOODRIDGE
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State | IL
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Zip | 60517-1442
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Country | US
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Telephone | 630-515-1050
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Fax | 630-515-1051
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 036075583
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License Number State | IL
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