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General NPI Number Information
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NPI Number | 1457159428
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Entity Type | Individual
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Provider Name | NIMRTA RATHOR CFO
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Gender | Female
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 106 N SUNRISE AVE STE C8
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City | ROSEVILLE
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State | CA
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Zip | 95661-2914
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Country | US
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Telephone | 916-297-7853
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Fax | 916-297-7852
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Provider Business Mailing Address
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Address Line | 106 N SUNRISE AVE STE C8
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City | ROSEVILLE
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State | CA
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Zip | 95661-2914
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Country | US
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Telephone | 916-297-7853
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Fax | 916-297-7852
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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 | 225000000X
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Taxonomy Name | Orthotic Fitter
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License Number | CFO06018
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License Number State | CA
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