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General NPI Number Information
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NPI Number | 1407561178
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Entity Type | Individual
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Provider Name | POOJA BHAVIKA PATEL OTD
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Gender | Female
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Dates
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Enumeration Date | 01/17/2023
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 310 21ST AVE N
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City | NASHVILLE
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State | TN
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Zip | 37203-1846
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Country | US
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Telephone | 629-253-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 80 DEENA CV
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City | COVINGTON
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State | TN
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Zip | 38019-1711
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Country | US
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Telephone | 901-692-3439
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 7452
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License Number State | TN
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