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General NPI Number Information
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NPI Number | 1801295019
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Entity Type | Organization
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Legal Business Name | DOCTORS ON WHEELS PLLC
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 10/07/2014
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Provider Practice Location Address
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Address Line | 1513 VICEROY DR SUITE 135
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City | DALLAS
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State | TX
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Zip | 75235-2303
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Country | US
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Telephone | 972-839-8565
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Fax | 214-879-0140
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Provider Business Mailing Address
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Address Line | 1513 VICEROY DR SUITE 135
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City | DALLAS
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State | TX
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Zip | 75235-2303
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Country | US
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Telephone | 972-839-8565
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Fax | 214-879-0140
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MR. MANOHAR GHATRAZU
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Credential |
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Telephone | 214-850-7098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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