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General NPI Number Information
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NPI Number | 1053554048
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Entity Type | Individual
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Provider Name | GAURAV KAUSHIK
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Gender | Male
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Dates
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Enumeration Date | 04/07/2009
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 720 E ROMIE LN
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City | SALINAS
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State | CA
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Zip | 93901-4208
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Country | US
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Telephone | 831-424-8072
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Fax |
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Provider Business Mailing Address
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Address Line | 201 MAIN STREET
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City | PHILMONT
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State | NY
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Zip | 12565
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Country | US
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Telephone | 518-672-7408
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Fax | 518-672-4721
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 41470
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 031219
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License Number State | NY
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