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General NPI Number Information
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NPI Number | 1841662343
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Entity Type | Individual
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Provider Name | NAYENDRA DABRESIL PT
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Gender | Female
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Dates
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Enumeration Date | 10/22/2015
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Last Update Date | 10/22/2015
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Provider Practice Location Address
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Address Line | 7230 S LAND PARK DR SUITE 105
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City | SACRAMENTO
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State | CA
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Zip | 95831-3659
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Country | US
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Telephone | 916-393-0497
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Fax |
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Provider Business Mailing Address
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Address Line | 4101 INNOVATOR DR APT 1027
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City | SACRAMENTO
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State | CA
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Zip | 95834-3851
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Country | US
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Telephone | 321-947-9575
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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 | PT43186
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License Number State | CA
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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 | PT30631
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License Number State | FL
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