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NPI 1164921235

NPI 1164921235 : ARJISHA LLC : SUGAR LAND, TX

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General NPI Number Information
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    NPI Number           |    1164921235
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARJISHA LLC 
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Dates
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    Enumeration Date     |    02/05/2018
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    Last Update Date     |    02/05/2018
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Provider Practice Location Address
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    Address Line         |    7402 FURMAN WAY 
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    City                 |    SUGAR LAND
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    State                |    TX
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    Zip                  |    77479-4435
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    Country              |    US
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    Telephone            |    281-940-4667
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7402 FURMAN WAY 
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    City                 |    SUGAR LAND
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    State                |    TX
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    Zip                  |    77479-4435
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    Country              |    US
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    Telephone            |    281-940-4667
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SUSHMA  AGGARWAL 
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    Credential           |    
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    Telephone            |    281-940-4667
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    112547
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    License Number State |    TX
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