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General NPI Number Information
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NPI Number | 1548500168
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Entity Type | Individual
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Provider Name | SHUBHANGI TOMDEO KHAPARDE
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Gender | Female
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Dates
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Enumeration Date | 02/19/2013
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Last Update Date | 10/26/2018
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Provider Practice Location Address
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Address Line | 1110 TOM ADAMS DR
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City | AUSTIN
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State | TX
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Zip | 78753
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Country | US
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Telephone | 512-836-1515
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Fax |
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Provider Business Mailing Address
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Address Line | 1316 TOWN CENTER DR APT 3132
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-7315
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Country | US
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Telephone | 269-216-1749
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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 | 24194
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License Number State | MD
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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 | 1299789
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License Number State | TX
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