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General NPI Number Information
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NPI Number | 1043325186
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Entity Type | Individual
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Provider Name | REETU BACHHAWAT MD
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Gender | Female
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 8101 CLEARVISTA PKWY SUITE 200
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-4696
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Country | US
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Telephone | 317-621-5390
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Fax | 317-621-7885
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Provider Business Mailing Address
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Address Line | 6626 E 75TH ST SUITE 500
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-2805
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Country | US
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C55079
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 25727
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 36674
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | C55079
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01076795A
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License Number State | IN
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