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General NPI Number Information
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NPI Number | 1851821375
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Entity Type | Individual
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Provider Name | HAREESH PILLAI MD
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Gender | Male
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Dates
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Enumeration Date | 06/18/2017
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Last Update Date | 05/23/2022
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Provider Practice Location Address
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Address Line | 1600 W 24TH ST # 8100
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City | PUEBLO
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State | CO
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Zip | 81003-1411
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Country | US
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Telephone | 972-375-3342
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Fax |
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Provider Business Mailing Address
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Address Line | 12814 HOLBROOK DR
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City | FARMERS BRANCH
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State | TX
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Zip | 75234-6226
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Country | US
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Telephone | 972-375-3342
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 272578
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0066200
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License Number State | CO
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