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General NPI Number Information
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NPI Number | 1962306670
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Entity Type | Individual
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Provider Name | KRISHNAPRIYA KANDAMPULLI MURALEEDHARAN
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Gender | Female
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 995 N WALNUT CREEK DR
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City | MANSFIELD
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State | TX
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Zip | 76063-1503
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Country | US
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Telephone | 628-227-2963
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Fax |
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Provider Business Mailing Address
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Address Line | THE LANDING AT MANSFIELD, 1701 TOWNE CROSSING BLVD APT 724
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City | MANSFIELD
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State | TX
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Zip | 76063
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Country | US
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Telephone | 334-559-4880
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | NULL
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