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General NPI Number Information
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NPI Number | 1073220927
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Entity Type | Individual
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Provider Name | VARSHA RAJAGOPAL RAO
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Gender | Female
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | 720 ROBB DR STE 103
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City | RENO
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State | NV
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Zip | 89523-3733
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Country | US
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Telephone | 775-762-9428
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Fax |
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Provider Business Mailing Address
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Address Line | 1780 DREAM CATCHER CT
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City | SUN VALLEY
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State | NV
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Zip | 89433-7342
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Country | US
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Telephone | 224-817-7580
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Fax |
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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 | 4662
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License Number State | NV
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