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General NPI Number Information
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NPI Number | 1124694690
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Entity Type | Individual
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Provider Name | PALAK GHETIYA DPT, CSCS
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Gender | Female
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Dates
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Enumeration Date | 06/03/2021
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Last Update Date | 09/09/2021
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Provider Practice Location Address
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Address Line | 1115 U ST NW
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City | WASHINGTON
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State | DC
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Zip | 20009-7520
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Country | US
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Telephone | 202-897-3991
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Fax |
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Provider Business Mailing Address
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Address Line | 4528 WILLOW ROCK LN
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City | FORT WORTH
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State | TX
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Zip | 76244-4332
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Country | US
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Telephone | 860-299-4971
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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 | PT200001218
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License Number State | DC
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