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General NPI Number Information
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NPI Number | 1912991001
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Entity Type | Individual
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Provider Name | YESHWANT P REDDY MD
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Gender | Male
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Dates
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Enumeration Date | 09/06/2005
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Last Update Date | 01/05/2022
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Provider Practice Location Address
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Address Line | 931 CHATHAM LN
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City | COLUMBUS
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State | OH
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Zip | 43221-2417
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Country | US
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Telephone | 614-533-5500
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Fax | 614-533-5593
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Provider Business Mailing Address
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Address Line | 5350 FRANTZ RD
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City | DUBLIN
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State | OH
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Zip | 43016-4259
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Country | US
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Telephone |
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 35.079341
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License Number State | OH
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