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General NPI Number Information
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NPI Number | 1245904432
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Entity Type | Individual
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Provider Name | NIHARIKA RAGHUVANSHI
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Gender | Female
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Dates
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Enumeration Date | 08/03/2021
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Last Update Date | 08/03/2021
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Provider Practice Location Address
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Address Line | 375 ADRIATIC PKWY
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City | MCKINNEY
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State | TX
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Zip | 75072-1553
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Country | US
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Telephone | 214-592-0606
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 WHITESTONE LN APT 1025
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City | PLANO
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State | TX
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Zip | 75024-3037
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Country | US
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Telephone | 469-931-6582
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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 | 1340030
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License Number State | TX
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