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General NPI Number Information
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NPI Number | 1649087487
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Entity Type | Individual
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Provider Name | LEKHA MADHURI KOSARAJU
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Gender | Female
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 976 AMSTERDAM AVE
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City | NEW YORK
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State | NY
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Zip | 10025-2201
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Country | US
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Telephone | 716-936-6908
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Fax |
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Provider Business Mailing Address
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Address Line | 187 KENMORE AVE
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City | BUFFALO
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State | NY
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Zip | 14223-3017
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Country | US
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Telephone | 716-936-6908
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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 | 052930
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | 052930
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 052930
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 052930
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License Number State | NY
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