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General NPI Number Information
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NPI Number | 1609363415
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Entity Type | Individual
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Provider Name | ANKITA PRASAD
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Gender | Female
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Dates
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Enumeration Date | 04/17/2018
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 4032 MCDERMOTT RD
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City | PLANO
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State | TX
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Zip | 75024-7733
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Country | US
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Telephone | 972-769-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 4032 MCDERMOTT RD
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City | PLANO
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State | TX
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Zip | 75024-7733
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Country | US
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Telephone |
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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 | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | V0514
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License Number State | TX
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