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NPI 1780083444

NPI 1780083444 : AKSHEYA SRIDHAR : WESTERVILLE, OH

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General NPI Number Information
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    NPI Number           |    1780083444
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    Entity Type          |    Individual 
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    Provider Name        |    AKSHEYA SRIDHAR
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/19/2014
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    Last Update Date     |    07/21/2023
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Provider Practice Location Address
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    Address Line         |    189 W SCHROCK RD 
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    City                 |    WESTERVILLE
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    State                |    OH
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    Zip                  |    43081
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    Country              |    US
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    Telephone            |    614-355-7500
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    Fax                  |    614-355-7533
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Provider Business Mailing Address
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    Address Line         |    700 CHILDRENS DR 
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    City                 |    COLUMBUS
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    State                |    OH
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    Zip                  |    43205-2639
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    Country              |    US
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    Telephone            |    614-722-2000
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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        |    222Q00000X
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    Taxonomy Name        |    Developmental Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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