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General NPI Number Information
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NPI Number | 1942682414
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Entity Type | Individual
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Provider Name | GALAXY MUDDA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/22/2015
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1411 E 31ST ST
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City | OAKLAND
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State | CA
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Zip | 94602-1018
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Country | US
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Telephone | 510-507-8717
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Fax |
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Provider Business Mailing Address
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Address Line | 2974 PERRY AVE APT 2A
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City | BRONX
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State | NY
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Zip | 10458-2160
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Country | US
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Telephone | 718-962-4293
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A161951
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License Number State | CA
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