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General NPI Number Information
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NPI Number | 1447083746
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Entity Type | Individual
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Provider Name | SANJAY DHAKAL
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Gender | Male
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Dates
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Enumeration Date | 08/22/2024
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 1201 N WATSON RD STE 228
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City | ARLINGTON
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State | TX
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Zip | 76006-6248
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Country | US
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Telephone | 682-321-7004
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Fax |
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Provider Business Mailing Address
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Address Line | 10324 BURTRUM DR
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City | FORT WORTH
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State | TX
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Zip | 76177-1641
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Country | US
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Telephone | 208-760-8636
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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