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General NPI Number Information
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NPI Number | 1558292680
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Entity Type | Individual
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Provider Name | MR. PRATHAM NAIDU BHAVIKATI
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Gender | Male
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Dates
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Enumeration Date | 05/27/2026
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Last Update Date | 05/27/2026
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Provider Practice Location Address
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Address Line | 1100 ALLIED DR
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City | PLANO
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State | TX
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Zip | 75093-5348
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Country | US
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Telephone | 469-814-3278
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Fax |
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Provider Business Mailing Address
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Address Line | 120 ROSEBRIAR CT
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City | COPPELL
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State | TX
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Zip | 75019-3400
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Country | US
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Telephone | 214-897-0218
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | TX
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