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General NPI Number Information
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NPI Number | 1851942437
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Entity Type | Individual
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Provider Name | SHEETAL KEYUSH RAWANI
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Gender | Female
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Dates
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Enumeration Date | 09/24/2019
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Last Update Date | 09/24/2019
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Provider Practice Location Address
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Address Line | 11406 RUSTIC ROCK DR
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City | AUSTIN
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State | TX
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Zip | 78750-3505
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Country | US
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Telephone | 512-335-5028
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Fax |
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Provider Business Mailing Address
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Address Line | 12405 ALAMEDA TRACE CIR
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City | AUSTIN
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State | TX
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Zip | 78727-6441
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Country | US
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Telephone | 309-799-7951
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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