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General NPI Number Information
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NPI Number | 1386388304
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Entity Type | Individual
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Provider Name | HIMA DILIP KOTHARI
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Gender | Female
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Dates
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Enumeration Date | 04/26/2022
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Last Update Date | 06/03/2022
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Provider Practice Location Address
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Address Line | 1967B WEST SREET
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City | ANNAPOLIS
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State | MD
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Zip | 21401
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Country | US
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Telephone | 410-266-3136
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Fax |
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Provider Business Mailing Address
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Address Line | 7050 SOUTHMOOR ST UNIT 4204
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City | HANOVER
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State | MD
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Zip | 21076-2139
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 27372
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License Number State | MD
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