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General NPI Number Information
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NPI Number | 1043598352
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Entity Type | Individual
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Provider Name | HAMZA DASTGIR BHATTI D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/03/2011
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 1727 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10019-5214
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Country | US
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Telephone | 212-489-6669
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Fax |
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Provider Business Mailing Address
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Address Line | 3 DOHNE CT
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City | GREENLAWN
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State | NY
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Zip | 11740-1516
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Country | US
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Telephone | 631-965-1700
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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 | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | OS15873
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 25MB09502300
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | OS020863
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 20A18457
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 272143
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License Number State | NY
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