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General NPI Number Information
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NPI Number | 1134600141
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Entity Type | Individual
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Provider Name | JANKI BHAKTA
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Gender | Female
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Dates
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Enumeration Date | 08/27/2018
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Last Update Date | 08/27/2018
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Provider Practice Location Address
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Address Line | 1003 BECKETT
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City | SAN ANTONIO
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State | TX
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Zip | 78213-1353
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Country | US
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Telephone | 512-626-1206
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Fax |
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Provider Business Mailing Address
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Address Line | 21219 LESLIE CARSON
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City | SAN ANTONIO
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State | TX
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Zip | 78258-6940
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Country | US
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Telephone | 210-677-2003
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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 | 2128549
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License Number State | TX
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