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General NPI Number Information
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NPI Number | 1922386192
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Entity Type | Individual
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Provider Name | SRI VINAY ATLURI
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Gender | Male
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Dates
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Enumeration Date | 07/21/2011
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Last Update Date | 03/19/2014
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Provider Practice Location Address
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Address Line | 204 E BEACH ST
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City | WATSONVILLE
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State | CA
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Zip | 95076-4809
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Country | US
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Telephone | 831-728-8250
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Fax |
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Provider Business Mailing Address
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Address Line | 975 BELMONT TER UNIT 3
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City | SUNNYVALE
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State | CA
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Zip | 94086-4844
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Country | US
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Telephone | 678-234-8549
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 60550
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License Number State | CA
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