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General NPI Number Information
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NPI Number | 1285993832
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Entity Type | Individual
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Provider Name | ADITYA BHASKAR PULIKAL M.D., J.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2012
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 7700 CAT HOLLOW DR STE 203
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City | ROUND ROCK
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State | TX
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Zip | 78681-5799
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Country | US
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Telephone | 512-734-8060
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Fax | 512-859-6684
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Provider Business Mailing Address
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Address Line | 7700 CAT HOLLOW DR STE 203
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City | ROUND ROCK
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State | TX
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Zip | 78681-5799
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Country | US
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Telephone | 512-734-8060
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Fax | 512-859-6684
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | T2724
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number | T2724
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | T2724
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License Number State | TX
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