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General NPI Number Information
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NPI Number | 1942565403
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Entity Type | Individual
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Provider Name | SOWMYA NANJAPPA MD
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Gender | Female
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 4100 W 15TH ST STE 110
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City | PLANO
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State | TX
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Zip | 75093-5826
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Country | US
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Telephone | 469-408-9558
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Fax | 888-393-5922
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Provider Business Mailing Address
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Address Line | 4100 W 15TH ST STE 110
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City | PLANO
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State | TX
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Zip | 75093-5826
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Country | US
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Telephone | 469-408-9558
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Fax | 888-393-5922
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 30918
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 0101269105
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | TM2022-0111
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 2020-00720
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | S4198
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License Number State | TX
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