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NPI 1578332417

NPI 1578332417 : SANDHYA NELAPUDI PHYSICAL THERAPIST : MUSKEGON, MI

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General NPI Number Information
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    NPI Number           |    1578332417
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    Entity Type          |    Individual 
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    Provider Name        |    SANDHYA NELAPUDI PHYSICAL THERAPIST
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/20/2023
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    Last Update Date     |    12/20/2023
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Provider Practice Location Address
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    Address Line         |    2053 S SHERIDAN DR 
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    City                 |    MUSKEGON
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    State                |    MI
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    Zip                  |    49442-6254
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    Country              |    US
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    Telephone            |    231-329-3012
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1641 MILLS AVE 
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    City                 |    MUSKEGON
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    State                |    MI
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    Zip                  |    49445-3013
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    Country              |    US
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    Telephone            |    231-329-3012
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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       |    
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    License Number State |    
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