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General NPI Number Information
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NPI Number | 1932261625
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Entity Type | Organization
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Legal Business Name | R.B. REDDY ENTERPRISES, INC
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Dates
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Enumeration Date | 12/16/2006
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Last Update Date | 07/28/2010
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Provider Practice Location Address
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Address Line | 3475 FANNIN ST
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City | BEAUMONT
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State | TX
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Zip | 77701-3807
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Country | US
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Telephone | 409-832-4141
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Fax | 409-832-8484
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Provider Business Mailing Address
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Address Line | 3475 FANNIN ST
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City | BEAUMONT
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State | TX
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Zip | 77701-3807
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Country | US
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Telephone | 409-832-4141
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Fax | 409-832-8484
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RAGHURAMI B REDDY
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Credential | PT
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Telephone | 409-832-4141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1080695
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License Number State | TX
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