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General NPI Number Information
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NPI Number | 1699964072
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Entity Type | Organization
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Legal Business Name | ALKA S. RISHI, M.D., F.A.C.O.G.
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 2207 S CLEAR CREEK RD SUITE 203
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City | KILLEEN
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State | TX
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Zip | 76549-4132
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Country | US
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Telephone | 254-634-0754
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Fax | 254-634-1987
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Provider Business Mailing Address
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Address Line | 2207 S CLEAR CREEK RD SUITE 203
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City | KILLEEN
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State | TX
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Zip | 76549-4132
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Country | US
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Telephone | 254-634-0754
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Fax | 254-634-1987
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Authorized Official
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Title or Position | DOCTOR
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Name | ALKA S RISHI
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Credential | M.D.
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Telephone | 254-634-0754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 54993
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License Number State | TX
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