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General NPI Number Information
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NPI Number | 1689889693
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Entity Type | Individual
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Provider Name | KSHANILA GANDHI PT
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Gender | Female
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Dates
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Enumeration Date | 05/12/2007
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Last Update Date | 06/27/2013
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Provider Practice Location Address
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Address Line | 9020 OLD GEORGETOWN RD
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City | BETHESDA
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State | MD
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Zip | 20814-1514
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Country | US
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Telephone | 301-660-3209
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Fax | 646-219-2840
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Provider Business Mailing Address
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Address Line | 3510 RAYMOOR RD
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City | KENSINGTON
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State | MD
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Zip | 20895-3126
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Country | US
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Telephone | 301-685-3557
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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 | 21633
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License Number State | MD
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