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General NPI Number Information
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NPI Number | 1033432208
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Entity Type | Organization
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Legal Business Name | RASIKA R. DHEKNE M.D.P.A.
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Dates
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Enumeration Date | 03/02/2010
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Last Update Date | 04/13/2012
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Provider Practice Location Address
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Address Line | 510 W TIDWELL RD PATHOLOGY DEPARTMENT
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City | HOUSTON
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State | TX
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Zip | 77091-4339
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Country | US
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Telephone | 713-618-8505
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Fax | 713-401-0770
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Provider Business Mailing Address
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Address Line | 510 W TIDWELL RD PATHOLOGY DEPARTMENT
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City | HOUSTON
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State | TX
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Zip | 77091-4339
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Country | US
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Telephone | 713-401-0700
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Fax | 713-401-0770
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. RASIKA RAMESH DHEKNE
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Credential | M.D.
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Telephone | 832-443-9071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | E6766
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License Number State | TX
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