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General NPI Number Information
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NPI Number | 1306768676
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Entity Type | Individual
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Provider Name | RAJESHWARI KOTI MS, MSC, CGC
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Gender | Female
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 620 S FLEISHEL AVE
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City | TYLER
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State | TX
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Zip | 75701-2041
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Country | US
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Telephone | 903-606-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 14673 WOODLAND CREEK DR
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City | TYLER
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State | TX
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Zip | 75706-1104
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Country | US
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Telephone | 903-606-4900
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number | 23034
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License Number State |
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