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General NPI Number Information
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NPI Number | 1922328814
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Entity Type | Individual
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Provider Name | MOUSHMITA PANDA PT
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Gender | Female
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Dates
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Enumeration Date | 06/03/2010
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Last Update Date | 06/03/2010
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Provider Practice Location Address
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Address Line | 6130 NEVADA AVE APT # E 421
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-3438
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Country | US
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Telephone | 818-813-2433
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Fax |
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Provider Business Mailing Address
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Address Line | 6130 NEVADA AVE APT E421
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-3437
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Country | US
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Telephone | 818-813-2433
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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 | PT012788
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License Number State | OH
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