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NPI 1972311454

NPI 1972311454 : AMOL A UTTURKAR DO PLLC : WESLACO, TX

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General NPI Number Information
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    NPI Number           |    1972311454
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMOL A UTTURKAR DO PLLC 
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Dates
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    Enumeration Date     |    12/30/2024
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    Last Update Date     |    03/25/2025
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Provider Practice Location Address
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    Address Line         |    906 JAMES ST 
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    City                 |    WESLACO
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    State                |    TX
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    Zip                  |    78596-9840
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    Country              |    US
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    Telephone            |    817-284-9850
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    Fax                  |    817-284-9859
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Provider Business Mailing Address
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    Address Line         |    909 PALM AVE 
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    City                 |    LA FERIA
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    State                |    TX
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    Zip                  |    78559-5113
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    Country              |    US
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    Telephone            |    817-284-9850
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    Fax                  |    817-284-9859
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     AMOL  UTTURKAR 
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    Credential           |    DO
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    Telephone            |    817-284-9850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    
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    License Number State |    
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