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General NPI Number Information
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NPI Number | 1760650071
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Entity Type | Individual
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Provider Name | REHA C SHRIKHANDE PT
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Gender | Female
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Dates
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Enumeration Date | 02/20/2008
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Last Update Date | 04/17/2020
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Provider Practice Location Address
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Address Line | 8 YELLOWPINE LANE
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City | TRABUCO CYN
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State | CA
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Zip | 92679
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Country | US
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Telephone | 949-713-7939
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Fax | 949-713-7939
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Provider Business Mailing Address
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Address Line | 8018 E SANTA ANA CANYON RD STE 100-145
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City | ANAHEIM
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State | CA
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Zip | 92808-1102
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Country | US
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Telephone | 714-926-1913
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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 | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | PT29649
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License Number State | CA
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