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General NPI Number Information
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NPI Number | 1992886501
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Entity Type | Individual
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Provider Name | RAGINI SATISH HEREKAR P.T.
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Gender | Female
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 08/26/2015
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Provider Practice Location Address
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Address Line | 39180 FARWELL DR,
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City | FREMONT
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State | CA
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Zip | 94538
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Country | US
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Telephone | 510-585-2545
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Fax | 866-484-5954
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Provider Business Mailing Address
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Address Line | 3361 EMERSON ST
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City | PALO ALTO
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State | CA
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Zip | 94306-3527
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Country | US
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Telephone | 650-947-9646
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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 | 11607
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License Number State | CA
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