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General NPI Number Information
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NPI Number | 1902159783
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Entity Type | Individual
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Provider Name | SNEHA DHARESHWAR
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Gender | Female
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Dates
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Enumeration Date | 10/18/2012
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 39 E 78TH ST STE 402
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City | NEW YORK
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State | NY
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Zip | 10075-0215
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Country | US
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Telephone | 212-439-9303
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Fax | 212-744-4481
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Provider Business Mailing Address
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Address Line | 9711 HORACE HARDING EXPY APT 15B
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City | CORONA
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State | NY
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Zip | 11368-4707
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Country | US
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Telephone | 570-903-9097
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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 | 034057
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License Number State |
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