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General NPI Number Information
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NPI Number | 1508634577
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Entity Type | Individual
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Provider Name | NAVEEN KUMAR PALAPOGU PT
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Gender | Male
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Dates
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Enumeration Date | 12/19/2023
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 119 MILL CREEK RD
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City | EDENTON
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State | NC
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Zip | 27932-8402
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Country | US
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Telephone | 336-466-4768
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Fax |
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Provider Business Mailing Address
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Address Line | 355 POST AVE STE 104
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City | WESTBURY
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State | NY
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Zip | 11590-2265
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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 | 051273
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P23891
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License Number State | NC
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