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General NPI Number Information
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NPI Number | 1992242259
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Entity Type | Individual
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Provider Name | AMI SHAHIWALA RPT
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Gender | Female
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Dates
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Enumeration Date | 01/25/2017
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 3365 REGENT BLVD
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City | IRVING
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State | TX
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Zip | 75063-3122
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Country | US
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Telephone | 469-647-4833
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Fax |
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Provider Business Mailing Address
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Address Line | 5207 MIDDLETON DR
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City | PARKER
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State | TX
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Zip | 75002-3671
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Country | US
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Telephone | 614-886-7866
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Fax | 486-913-4193
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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 | 5501014881
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License Number State | MI
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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 |
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License Number State | TX
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