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General NPI Number Information
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NPI Number | 1952594434
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Entity Type | Organization
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Legal Business Name | REKHA PADUBIDRI, MD INC
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 03/04/2013
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Provider Practice Location Address
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Address Line | 725 BOARDMAN CANFIELD RD BLDG J2
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-4380
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Country | US
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Telephone | 330-726-0001
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Fax | 330-726-1828
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Provider Business Mailing Address
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Address Line | 725 BOARDMAN CANFIELD RD BLDG J2
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-4380
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Country | US
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Telephone | 330-726-0001
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Fax | 330-726-1828
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | CYNDEE FISHER
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Credential |
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Telephone | 330-270-5454
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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 |
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License Number State | OH
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