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General NPI Number Information
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NPI Number | 1528412905
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Entity Type | Individual
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Provider Name | KRUTIKA PARASAR RAULKAR MD
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Gender | Female
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Dates
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Enumeration Date | 04/21/2016
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Last Update Date | 08/25/2021
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Provider Practice Location Address
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Address Line | 1126 N CHURCH ST STE 103
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City | GREENSBORO
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State | NC
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Zip | 27401-1035
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Country | US
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Telephone | 336-663-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 3333 HENRY HUDSON PKWY APT 17F
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City | BRONX
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State | NY
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Zip | 10463-3260
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Country | US
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Telephone | 908-461-3999
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 2019-01370
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License Number State | NC
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