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General NPI Number Information
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NPI Number | 1548648843
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Entity Type | Organization
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Legal Business Name | NIDHI P. PUROHIT, LLC
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Dates
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Enumeration Date | 05/07/2015
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Last Update Date | 05/07/2015
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Provider Practice Location Address
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Address Line | 1202 S TYLER ST
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City | COVINGTON
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State | LA
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Zip | 70433-2330
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Country | US
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Telephone | 504-450-1330
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Fax |
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Provider Business Mailing Address
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Address Line | 9 WHIPPORWILL RD
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City | COVINGTON
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State | LA
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Zip | 70433-4513
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Country | US
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Telephone | 504-450-1330
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NIDHI P PUROHIT
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Credential | M.D.
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Telephone | 504-450-1330
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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 | MD15324R
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License Number State | LA
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