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General NPI Number Information
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NPI Number | 1982523155
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Entity Type | Individual
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Provider Name | HIMAJA REDDY SAMIREDDY MED
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Gender | Female
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 7022 SARDIS RD
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City | CHARLOTTE
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State | NC
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Zip | 28270-6058
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Country | US
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Telephone | 704-366-8260
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Fax |
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Provider Business Mailing Address
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Address Line | 10213 KENDRA CT
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City | CHARLOTTE
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State | NC
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Zip | 28277-3172
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Country | US
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Telephone | 732-788-7009
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BACB1173879
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 4544
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License Number State | NC
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