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General NPI Number Information
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NPI Number | 1023107794
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Entity Type | Individual
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Provider Name | VIRINDER KUMAR BHARDWAJ MD
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Gender | Male
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 386 N VILLA ST STE B
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City | PORTERVILLE
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State | CA
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Zip | 93257
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Country | US
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Telephone | 559-791-3914
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 31309
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City | LOS ANGELES
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State | CA
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Zip | 90031-0309
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Country | US
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Telephone | 559-791-3914
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | C50673
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License Number State | CA
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