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General NPI Number Information
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NPI Number | 1891763611
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Entity Type | Individual
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Provider Name | RAMESH PERSAUD OT, CHT
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Gender | Male
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | 149 HART ST 82 MDOS/SGOMZ
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City | SHEPPARD AFB
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State | TX
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Zip | 76311-3477
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Country | US
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Telephone | 940-676-2235
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Fax |
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Provider Business Mailing Address
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Address Line | 4804 WHISPER WIND DR
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City | WICHITA FALLS
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State | TX
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Zip | 76310-3000
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Country | US
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Telephone | 940-692-1617
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | OC006626L
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License Number State | PA
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