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NPI 1972379303

NPI 1972379303 : SARANYA REDDY BUDAMGUNTA FNP-BC : KIRKLAND, WA

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General NPI Number Information
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    NPI Number           |    1972379303
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    Entity Type          |    Individual 
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    Provider Name        |    SARANYA REDDY BUDAMGUNTA FNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/27/2023
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    Last Update Date     |    03/17/2025
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Provider Practice Location Address
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    Address Line         |    12675 120TH AVE NE STE 193 
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    City                 |    KIRKLAND
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    State                |    WA
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    Zip                  |    98034-5097
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    Country              |    US
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    Telephone            |    888-663-6331
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    Fax                  |    415-252-7176
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Provider Business Mailing Address
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    Address Line         |    1439 CANNON MOUNTAIN DR 
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    City                 |    LONGMONT
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    State                |    CO
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    Zip                  |    80503-2702
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    Country              |    US
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    Telephone            |    720-998-3099
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    APN.0999321
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    AP61510663
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    License Number State |    WA
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