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General NPI Number Information
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NPI Number | 1427252477
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Entity Type | Individual
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Provider Name | HARSHA MIRCHANDANI MPT
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Gender | Female
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 111 HARRILSON RD
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City | CHERRYVILLE
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State | NC
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Zip | 28021-9541
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Country | US
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Telephone | 704-435-0108
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Fax | 704-435-4982
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Provider Business Mailing Address
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Address Line | 1747 ABBOTSFORD CT
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City | GASTONIA
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State | NC
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Zip | 28056-7430
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Country | US
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Telephone | 704-824-1582
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Fax | 704-824-7981
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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 | 8726
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License Number State | NC
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