Individual provider Active NPI

Aravind Bizwar Reddy, MD

  • Neurology Physician
  • Syracuse, NY
National Provider Identifier
1548756588
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
310837 Issued in NY
Practice address
750 E Adams St
Syracuse, NY 13210-2306
Phone
(315) 464-4243
NPI assigned
Jul 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME162860 FL
Neurology Physician 2084N0400X 2023047334 MO
Neurology Physician 2084N0400X 24278 NV
Neurology Physician 2084N0400X 2023-00847 NC
Neurology Physician 2084N0400X 69079 TN
Neurology Physician 2084N0400X 0101279289 VA
Neurology Physician 2084N0400X 98412 GA
Neurology Physician 2084N0400X 310837 NY Primary
Neurology Physician 2084N0400X MD61349471 WA
Neurology Physician 2084N0400X 036169458 IL
Neurology Physician 2084N0400X MD220867 OR

Addresses

Primary practice location

750 E Adams St
Syracuse, NY 13210-2306

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other practice location 1

127 Health Care Dr Ste 3
Pennington Gap, VA 24277-2853
Phone (423) 230-5000

Other practice location 2

6000 Hospital Dr
Hannibal, MO 63401-6887
Phone (573) 248-1300

Other practice location 3

100 15th St NW
Norton, VA 24273-1616
Phone (423) 630-7001

Other practice location 4

58 Carroll Street
Lebanon, VA 24266-4510
Phone (276) 883-8000

Other practice location 5

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-2200

Other practice location 6

200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone (704) 384-9437

Other practice location 7

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 851-8000

Other practice location 8

1501 W Elk Ave
Elizabethton, TN 37643-2874
Phone (423) 542-1300

Other practice location 9

2030 Temple Hill Rd
Erwin, TN 37650-8721
Phone (423) 743-3141

Other practice location 10

1901 S Shady St
Mountain City, TN 37683-2021
Phone (423) 727-1100

Other practice location 11

16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1000

Other practice location 12

245 Medical Park Dr
Marion, VA 24354-1100
Phone (276) 378-1000

Other practice location 13

2000 Brookside Dr
Kingsport, TN 37660-4627
Phone (423) 857-7000

Other practice location 14

312 Hospital Dr
Clintwood, VA 24228-6786
Phone (276) 926-0300

Other practice location 15

400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111

Other practice location 16

851 Locust St
Rogersville, TN 37857-2407
Phone (423) 921-7000

Other practice location 17

15790 Paul Vega Dr
Hammond, LA 70403-1436
Phone (985) 230-1683

Other practice location 18

1102 W 32nd St
Joplin, MO 64804-3503
Phone (417) 347-4570

Other practice location 19

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

Other practice location 20

1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5000

Other practice location 21

1519 Main St
Sneedville, TN 37869-3657
Phone (423) 733-5000

Other practice location 22

3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-4000

Other practice location 23

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000

Other practice location 24

1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (423) 230-8200

Other practice location 25

300 Med Tech Pkwy
Johnson City, TN 37604-2277
Phone (423) 302-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NE, WA, CA, LA, NC, TN, VA, MO, IL, MS, CT, IN, GA, OR15 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 15

Enrollment IDStateProvider typePAC IDDetails
I20221123001086 NY Practitioner - Neurology 9436527447 Reassigns benefits to 7 organizations
I20221201002473 NE Practitioner - Neurology 9436527447 Reassigns benefits to 1 organization
I20221220001927 WA Practitioner - Neurology 9436527447 Reassigns benefits to 2 organizations
I20231012003320 CA Practitioner - Neurology 9436527447 Reassigns benefits to 2 organizations
I20231028000130 LA Practitioner - Neurology 9436527447 Reassigns benefits to 1 organization
I20240126002746 NC Practitioner - Neurology 9436527447 Reassigns benefits to 3 organizations
I20240520002572 TN Practitioner - Neurology 9436527447 Reassigns benefits to 1 organization
I20240603002654 VA Practitioner - Neurology 9436527447 Reassigns benefits to 2 organizations
I20240620000414 MO Practitioner - Neurology 9436527447 Reassigns benefits to 3 organizations
I20240924004198 IL Practitioner - Neurology 9436527447 Reassigns benefits to 1 organization
I20241204001749 MS Practitioner - Neurology 9436527447 Reassigns benefits to 1 organization
I20241206000160 CT Practitioner - Neurology 9436527447 Reassigns benefits to 2 organizations
I20241207000141 IN Practitioner - Neurology 9436527447 Reassigns benefits to 1 organization
I20241220001789 GA Practitioner - Neurology 9436527447 Reassigns benefits to 2 organizations
I20250916003277 OR Practitioner - Neurology 9436527447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Toledo College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians
Stamford Health Medical Group IncGroup PAC ID 6901099746, 442 clinicians
Hendricks County HospitalGroup PAC ID 4880505528, 341 clinicians
North Atlanta Professional Services LLCGroup PAC ID 0840291944, 423 clinicians
Adventist Health System Georgia IncGroup PAC ID 4486568037, 247 clinicians
Freeman-Oak Hill Health SystemGroup PAC ID 8325942253, shared by 14 NPIs, 385 clinicians
Wellmont Medical Associates IncGroup PAC ID 8123291739, shared by 2 NPIs, 432 clinicians
Northern Inyo Healthcare DistrictGroup PAC ID 8921992090, 104 clinicians
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians
North Oaks Medical Center LLCGroup PAC ID 2466629522, shared by 7 NPIs, 317 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
WakemedGroup PAC ID 7315937612, 72 clinicians
Singing River Health SystemGroup PAC ID 3870405194, 290 clinicians
Hannibal Regional Healthcare System IncGroup PAC ID 1254236300, 256 clinicians

Practice addresses (Care Compare)

Westport, CT 06880
Phone (773) 789-7976

1 Hospital PLZ
Stamford, CT 06902-3602
Phone (203) 276-1000

1000 E Main St
Danville, IN 46122-1948

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

1035 Red Bud Rd NE
Calhoun, GA 30701-6010

1102 W 32 St
Joplin, MO 64804-3503

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000

150 Pioneer LN
Bishop, CA 93514-2556
Phone (760) 873-5811

1500 Clayton Manor Dr
Apt 6
Liverpool, NY 13088-5373
Phone (434) 200-5047

15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Phone (985) 230-1683

16000 Johnson Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-8200

200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 384-5416

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-1757

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000

3603 Bienville Blvd
Ocean Springs, MS 39564-5727
Phone (228) 872-8768

4763 Norstar Blvd
Apt 114
Liverpool, NY 13088-4219
Phone (985) 230-1683

7001 Hwy 614
Coastal Ambulatory Services
Hurley, MS 39555-5340
Phone (228) 588-6622

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705-2029
Phone (706) 879-5760

8244 E US Hwy 36
Avon, IN 46123-9688

8244 E US Hwy 36 1320
Avon Internal Medicine
Avon, IN 46123-9688
Phone (317) 272-7519

PO Box
Suite 1257
Hannibal, MO 63401-1257
Phone (573) 248-5460

Hospital & facility affiliations

  • Stamford Hospital Hospital, Stamford, CT, CCN 070006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME162860FLMDNeurology Physician
98412GAMDNeurology Physician
MD220867ORMDNeurology Physician
310837NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates Inc CurrentSince May 14, 2024 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Aug 18, 2023 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Nov 15, 2022 Accepting new patients
Freeman-Oak Hill Health System CurrentSince Jun 1, 2024 Accepting new patients
Veeone Medical Group II Professional Corporation Neurology CurrentSince Nov 8, 2022 Accepting new patients
Northern Inyo Associates CurrentSince Sep 15, 2023 Accepting new patients
Freeman-Oak Hill Health System Neurology CurrentSince Jun 1, 2024 Accepting new patients
Hendricks County Hospital CurrentSince Jan 1, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Sep 2, 2025 Accepting new patients
Northern Inyo Healthcare District CurrentSince Nov 10, 2025 Accepting new patients
Silverton Health Current Accepting new patients
Wyoming County CurrentSince Mar 1, 2025 Accepting new patients
Adventist Health System Georgia Inc CurrentSince Nov 1, 2024 Accepting new patients
Hendricks County Hospital Neurology CurrentSince Jan 1, 2025 Accepting new patients
Wakemed CurrentSince Dec 13, 2023 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Apr 14, 2024 Accepting new patients
Neurology Medical Service Group, LLP Neurology CurrentSince Jul 10, 2023 Accepting new patients
Riverside Health System CurrentSince Apr 29, 2025 Accepting new patients
Veeone Medical Group PA Neurology CurrentSince Oct 1, 2022 Accepting new patients
Novant Health Medical Group, LLC Neurology CurrentSince Sep 1, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Hannibal Regional Healthcare System Inc CurrentSince Aug 20, 2024 Accepting new patients
Legacy Clinics LLC CurrentSince Sep 2, 2025 Accepting new patients
Multicare Health System CurrentSince Nov 21, 2022 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Nov 15, 2022 Accepting new patients
Wyoming County Current Accepting new patients
Silverton Health CurrentSince Sep 2, 2025 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince May 14, 2024 Accepting new patients
Riverside Physician Services Inc CurrentSince Jul 28, 2024 Accepting new patients
Vidant Medical Group LLC CurrentSince Nov 21, 2024 Accepting new patients
Wyoming County Current Accepting new patients
North Atlanta Professional Services LLC CurrentSince Jul 8, 2025 Accepting new patients
Wellmont Health System Current Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Sep 2, 2025 Accepting new patients
Stamford Health Medical Group Inc CurrentSince Dec 9, 2024 Accepting new patients
Northern Inyo Healthcare District CurrentSince Sep 15, 2023 Accepting new patients
Wellmont Medical Associates Inc CurrentSince May 14, 2024 Accepting new patients
Riverside Physician Services Inc CurrentSince Jul 28, 2024 Accepting new patients
Wakemed CurrentSince Dec 13, 2023 Accepting new patients
Hendricks County Hospital Current Accepting new patients
Riverside Health System CurrentSince Apr 29, 2025 Accepting new patients
Centra Medical Group, LLC CurrentSince Oct 13, 2024 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Silverton Health CurrentSince Sep 2, 2025 Accepting new patients
Multicare Health System CurrentSince Nov 21, 2022 Accepting new patients
Wyoming County CurrentSince Mar 1, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 1, 2025 Accepting new patients
Singing River Health System CurrentSince Nov 1, 2024 Accepting new patients
Hendricks County Hospital Past Accepting new patients
Hendricks County Hospital Past Accepting new patients

Locations (25 of 71)

152 Pioneer Ln
Ste F
Bishop, CA 93514
Phone (760) 872-1606

150 Pioneer Ln
Bishop, CA 93514
Phone (760) 873-2136

1420 E Roseville Pkwy
Ste 140519
Roseville, CA 95661

1420 E Roseville Pkwy
Ste 140
Roseville, CA 95661

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

699 Walnut St
Ste 400
Des Moines, IA 50309
Phone (515) 441-7944

375 N Wall St
Ste P510
Kankakee, IL 60901
Phone (815) 935-0750

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500

8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510

301 Satori Pkwy
Ste 150
Avon, IN 46123
Phone (317) 272-3662

1100 Southfield Dr
Ste 1370
Plainfield, IN 46168
Phone (317) 837-5570

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460

6000 Hospital Dr
#1257
Hannibal, MO 63401
Phone (573) 248-5460

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

120 Healthplex Way
Apex, NC 27502
Phone (919) 235-6525

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
  • FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4
  • Direct secure messaging: areddy1721385@direct.novanthealth.org
  • Direct secure messaging: areddy431583@balladhealth.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

Organizations & group practices 51

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 51

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1548756588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306",
            "telephone_number": "315-464-4243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 Health Care Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Pennington Gap",
            "state": "VA",
            "postal_code": "242772853",
            "country_code": "US",
            "telephone_number": "423-230-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016887",
            "country_code": "US",
            "telephone_number": "573-248-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 15th St NW",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "VA",
            "postal_code": "242731616",
            "country_code": "US",
            "telephone_number": "423-630-7001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "58 Carroll Street",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "242664510",
            "country_code": "US",
            "telephone_number": "276-883-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 N Gantenbein Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271623",
            "country_code": "US",
            "telephone_number": "503-413-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hawthorne Ln",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282042515",
            "country_code": "US",
            "telephone_number": "704-384-9437",
            "fax_number": "704-384-9440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Johnson Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421606",
            "country_code": "US",
            "telephone_number": "404-851-8000",
            "fax_number": "404-303-3759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 W Elk Ave",
            "address_purpose": "LOCATION",
            "city": "Elizabethton",
            "state": "TN",
            "postal_code": "376432874",
            "country_code": "US",
            "telephone_number": "423-542-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2030 Temple Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Erwin",
            "state": "TN",
            "postal_code": "376508721",
            "country_code": "US",
            "telephone_number": "423-743-3141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 S Shady St",
            "address_purpose": "LOCATION",
            "city": "Mountain City",
            "state": "TN",
            "postal_code": "376832021",
            "country_code": "US",
            "telephone_number": "423-727-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16000 Johnston Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117664",
            "country_code": "US",
            "telephone_number": "276-258-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243541100",
            "country_code": "US",
            "telephone_number": "276-378-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Brookside Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604627",
            "country_code": "US",
            "telephone_number": "423-857-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Clintwood",
            "state": "VA",
            "postal_code": "242286786",
            "country_code": "US",
            "telephone_number": "276-926-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N State Of Franklin Rd",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046035",
            "country_code": "US",
            "telephone_number": "423-431-6111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 Locust St",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378572407",
            "country_code": "US",
            "telephone_number": "423-921-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15790 Paul Vega Dr",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031436",
            "country_code": "US",
            "telephone_number": "985-230-1683",
            "fax_number": "985-230-6652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1102 W 32nd St",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043503",
            "country_code": "US",
            "telephone_number": "417-347-4570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207430",
            "country_code": "US",
            "telephone_number": "423-844-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 Tusculum Blvd",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377454279",
            "country_code": "US",
            "telephone_number": "423-787-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1519 Main St",
            "address_purpose": "LOCATION",
            "city": "Sneedville",
            "state": "TN",
            "postal_code": "378693657",
            "country_code": "US",
            "telephone_number": "423-733-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436142595",
            "country_code": "US",
            "telephone_number": "419-383-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 W Ravine Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603837",
            "country_code": "US",
            "telephone_number": "423-224-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 Holton Ave E",
            "address_purpose": "LOCATION",
            "city": "Big Stone Gap",
            "state": "VA",
            "postal_code": "242193350",
            "country_code": "US",
            "telephone_number": "423-230-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Med Tech Pkwy",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042277",
            "country_code": "US",
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            "country_name": "United States",
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        }
    ],
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        "first_name": "ARAVIND",
        "middle_name": "BIZWAR",
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        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
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    },
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        {
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            "taxonomy_group": "",
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        {
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            "taxonomy_group": "",
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    "endpoints": [],
    "other_names": []
}

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