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General NPI Number Information
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NPI Number | 1972364891
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Entity Type | Individual
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Provider Name | DR. DHAIRYA RAVAL
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Gender | Male
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Dates
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Enumeration Date | 01/18/2024
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 39 W 38TH ST RM 3W
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City | NEW YORK
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State | NY
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Zip | 10018-5531
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Country | US
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Telephone | 212-386-7816
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Fax |
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Provider Business Mailing Address
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Address Line | 12 SARELLA SOCIETY BEHIND BANK OF BARODA ST XAVIERS COLLEGE CORNER, NAVRANGPURA
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City | AHMEDABAD
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State | GUJARAT
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Zip | 380009
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Country | IN
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Telephone |
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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 | 051217-01
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License Number State | NY
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