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General NPI Number Information
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NPI Number | 1982640926
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Entity Type | Individual
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Provider Name | KRISHNA R PADIYAR MD MPH
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Gender | Male
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 02/18/2010
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Provider Practice Location Address
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Address Line | 14703 WARWICK BLVD SUITE 2B
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-3611
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Country | US
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Telephone | 757-886-6633
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Fax | 757-886-6677
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Provider Business Mailing Address
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Address Line | 14703 WARWICK BLVD SUITE 2B
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-3611
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Country | US
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Telephone | 757-886-6633
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Fax | 757-886-6677
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 35085405
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | 0101230692
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License Number State | VA
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