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General NPI Number Information
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NPI Number | 1972705754
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Entity Type | Individual
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Provider Name | KIRANMAYE BALAPALA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 10/21/2015
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Provider Practice Location Address
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Address Line | 22001 SOUTHWEST FWY SUITE 200
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City | RICHMOND
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State | TX
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Zip | 77469-7001
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Country | US
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Telephone | 832-595-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 22001 SOUTHWEST FWAY SUITE 200
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City | RICHMOND
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State | TX
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Zip | 77469
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Country | US
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Telephone | 832-595-7700
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 201659
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | P5930
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | P5930
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License Number State | TX
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