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General NPI Number Information
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NPI Number | 1205548393
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Entity Type | Individual
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Provider Name | MISS SHAONI NA CHATTERJI
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Gender | Female
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Dates
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Enumeration Date | 12/20/2022
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Last Update Date | 12/20/2022
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Provider Practice Location Address
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Address Line | 3257 W SARAZENS CIR
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City | MEMPHIS
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State | TN
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Zip | 38125-0807
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Country | US
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Telephone | 901-590-4106
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Fax |
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Provider Business Mailing Address
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Address Line | 162 LEGACY BARN TRL APT 304
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City | COLLIERVILLE
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State | TN
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Zip | 38017-8736
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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 | 225600000X
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Taxonomy Name | Dance Therapist
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License Number | R-DMT2810
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License Number State | MA
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