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NPI 1710016142

NPI 1710016142 : AMEET KARIA PT : DESOTO, TX

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General NPI Number Information
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    NPI Number           |    1710016142
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    Entity Type          |    Individual 
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    Provider Name        |    AMEET KARIA PT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/02/2007
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    Last Update Date     |    08/21/2018
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Provider Practice Location Address
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    Address Line         |    940 YORK DR 
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    City                 |    DESOTO
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    State                |    TX
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    Zip                  |    75115
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    Country              |    US
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    Telephone            |    972-331-4554
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1304 KATELYN CT 
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    City                 |    IRVING
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    State                |    TX
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    Zip                  |    75060-5779
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    Country              |    US
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    Telephone            |    954-649-3120
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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       |    5501012255
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1180173
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT22595
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    License Number State |    FL
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