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General NPI Number Information
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NPI Number | 1982823290
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Entity Type | Individual
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Provider Name | DEVAKI SIVA MD
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Gender | Female
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 6600 UNIVERSITY PKWY STE 204
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34240-9041
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Country | US
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Telephone | 941-923-1872
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Fax | 941-923-3947
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Provider Business Mailing Address
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Address Line | PO BOX 25487
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City | SARASOTA
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State | FL
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Zip | 34277-2487
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Country | US
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Telephone | 941-202-5342
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Fax | 941-202-5342
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 35091718
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 23141
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | ME163239
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License Number State | FL
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