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General NPI Number Information
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NPI Number | 1952553281
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Entity Type | Organization
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Legal Business Name | SHRINIVAS R. UDAPI AND PADMAJA S. UDAPI, M.D., P.A.
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Dates
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Enumeration Date | 10/17/2008
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Last Update Date | 12/22/2009
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Provider Practice Location Address
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Address Line | 7350 VAN DUSEN RD SUITE #380
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City | LAUREL
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State | MD
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Zip | 20707-5263
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Country | US
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Telephone | 301-776-6514
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Fax | 301-776-6592
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Provider Business Mailing Address
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Address Line | 7350 VAN DUSEN RD SUITE #380
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City | LAUREL
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State | MD
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Zip | 20707-5263
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Country | US
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Telephone | 301-776-6514
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Fax | 301-776-6592
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LAURA SMITH
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Credential |
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Telephone | 301-776-6514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D21200
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License Number State | MD
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