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General NPI Number Information
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NPI Number | 1245634591
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Entity Type | Organization
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Legal Business Name | RKOUSHIKMD, PLLC
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Dates
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Enumeration Date | 10/15/2014
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Last Update Date | 10/15/2014
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Provider Practice Location Address
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Address Line | 3327 RESEARCH PLZ SUITE 315
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City | SAN ANTONIO
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State | TX
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Zip | 78235-5155
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Country | US
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Telephone | 210-268-2477
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15066
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City | SAN ANTONIO
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State | TX
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Zip | 78212-8266
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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 | PHYSICIAN / OWNER
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Name | RAHUL S KOUSHIK
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Credential | MD
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Telephone | 210-268-2477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | M2681
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License Number State | TX
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