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General NPI Number Information
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NPI Number | 1023458999
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Entity Type | Individual
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Provider Name | SACHIN VIMAL BAHADUR MD
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Gender | Male
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Dates
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Enumeration Date | 06/25/2013
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 310 N L ROGERS WELLS BLVD
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City | GLASGOW
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State | KY
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Zip | 42141
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Country | US
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Telephone | 270-651-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 310 N L ROGERS WELLS BLVD
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City | GLASGOW
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State | KY
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Zip | 42141-1300
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Country | US
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Telephone | 270-651-1111
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 01085908A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 51065
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 51065
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 01085908A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 51065
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License Number State | KY
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