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General NPI Number Information
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NPI Number | 1942529888
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Entity Type | Individual
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Provider Name | PALLAVI ANNAPPA SOODA BPT, PPMPT
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Gender | Female
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Dates
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Enumeration Date | 05/17/2010
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 2222 AIRLINE RD STE A9
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414-2644
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Country | US
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Telephone | 361-853-6500
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Fax | 361-853-6501
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Provider Business Mailing Address
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Address Line | 2222 AIRLINE RD STE A9
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414-2644
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Country | US
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Telephone | 361-853-6500
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Fax | 361-853-6501
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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 | 05010240A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501014739
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1306415
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License Number State | TX
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