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General NPI Number Information
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NPI Number | 1801361233
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Entity Type | Individual
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Provider Name | SHREYA KORGAONKAR
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Gender | Female
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Dates
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Enumeration Date | 10/12/2018
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Last Update Date | 05/13/2024
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Provider Practice Location Address
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Address Line | 1899 TATE BLVD SE STE 2106
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City | HICKORY
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State | NC
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Zip | 28602-4200
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Country | US
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Telephone | 828-358-0976
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Fax | 828-838-1057
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Provider Business Mailing Address
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Address Line | PO BOX 749
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City | BELMONT
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State | NC
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Zip | 28012-0749
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Country | US
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Telephone |
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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 | 043268
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License Number State | NY
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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 | P22089
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License Number State | NC
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