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General NPI Number Information
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NPI Number | 1982514014
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Entity Type | Organization
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Legal Business Name | DURGA MAHANKALI
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 2700 NW 2ND AVE UNIT 839
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City | MIAMI
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State | FL
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Zip | 33127-4699
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Country | US
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Telephone | 575-495-1244
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Fax |
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Provider Business Mailing Address
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Address Line | 2751 SCENIC DR
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City | ALAMOGORDO
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State | NM
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Zip | 88310-8730
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SASWATHA ANIREDDY
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Credential | DO
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Telephone | 575-495-1244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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