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General NPI Number Information
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NPI Number | 1922441344
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Entity Type | Organization
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Legal Business Name | SITA DUGGIRALA MD PA
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Dates
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Enumeration Date | 04/16/2013
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Last Update Date | 04/16/2013
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Provider Practice Location Address
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Address Line | 7730 W WATERS AVE
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City | TAMPA
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State | FL
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Zip | 33615-1813
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Country | US
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Telephone | 813-887-1010
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Fax | 813-887-1021
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Provider Business Mailing Address
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Address Line | 7730 W WATERS AVE
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City | TAMPA
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State | FL
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Zip | 33615-1813
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Country | US
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Telephone | 813-887-1010
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Fax | 813-887-1021
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Authorized Official
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Title or Position | OWNER
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Name | SITA LAKSHMI DUGGIRALA
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Credential | M.D.
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Telephone | 813-887-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME96395
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License Number State | FL
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