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General NPI Number Information
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NPI Number | 1932236544
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Entity Type | Individual
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Provider Name | GOUTHAM TELUKUNTLA
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Gender | Male
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 2913 BARRINGTON TER
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City | FREMONT
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State | CA
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Zip | 94536-1950
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Country | US
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Telephone | 510-714-4672
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Fax |
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Provider Business Mailing Address
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Address Line | 2452 WATSON CT STE 1700
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City | PALO ALTO
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State | CA
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Zip | 94303-3216
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Country | US
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Telephone | 650-723-5281
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 2598
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License Number State | CA
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