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General NPI Number Information
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NPI Number | 1205292976
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Entity Type | Individual
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Provider Name | PRACHI TAKLIKAR DPT
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Gender | Female
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Dates
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Enumeration Date | 01/11/2016
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Last Update Date | 09/30/2023
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Provider Practice Location Address
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Address Line | 10515 N MOPAC EXPY STE A120
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City | AUSTIN
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State | TX
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Zip | 78759-5477
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Country | US
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Telephone | 512-348-2806
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 CORPORATE DR STE 400
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City | HOOVER
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State | AL
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Zip | 35242-5424
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Country | US
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Telephone |
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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 | PT 30144
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License Number State | FL
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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 | 05011542A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 293234
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1320077
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License Number State | TX
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