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General NPI Number Information
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NPI Number | 1528368420
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Entity Type | Individual
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Provider Name | PRAGATI TIKOO M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/25/2010
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 29 CRAFTS ST STE 400
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City | NEWTON
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State | MA
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Zip | 02458-1393
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Country | US
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Telephone | 617-964-7530
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Fax | 617-964-2667
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Provider Business Mailing Address
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Address Line | 11913 NE 195TH ST
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City | BOTHELL
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State | WA
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Zip | 98011-3147
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Country | US
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Telephone | 425-489-3100
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Fax | 425-489-3183
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 60701866
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 247135
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License Number State | MA
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