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General NPI Number Information
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NPI Number | 1942660832
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Entity Type | Organization
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Legal Business Name | HIMA REDDY PC
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Dates
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Enumeration Date | 03/04/2016
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Last Update Date | 03/04/2016
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Provider Practice Location Address
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Address Line | 5249 DUKE ST STE. 210
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City | ALEXANDRIA
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State | VA
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Zip | 22304-2926
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Country | US
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Telephone | 703-823-2413
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Fax | 703-823-8271
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Provider Business Mailing Address
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Address Line | 8415 DATAPOINT DR SUITE 1020
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3298
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Country | US
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Telephone | 703-823-2413
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Fax | 703-823-8271
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HIMA-BINDU REDDY
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Credential | DDS
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Telephone | 714-578-6358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 401411155
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License Number State | VA
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