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General NPI Number Information
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NPI Number | 1053054726
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Entity Type | Individual
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Provider Name | SANJEEB BHANDARI MBBS, MD, CHM, PHD
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Gender | Male
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Dates
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Enumeration Date | 04/19/2022
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 1309 E RIDGE RD STE 1
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City | MCALLEN
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State | TX
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Zip | 78503-1518
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Country | US
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Telephone | 956-631-8875
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Fax | 956-683-1502
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Provider Business Mailing Address
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Address Line | PO BOX 4830
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City | EDINBURG
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State | TX
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Zip | 78540-4830
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Country | US
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Telephone | 956-631-8875
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Fax | 956-683-1502
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | V4881
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 76622-20
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License Number State | WI
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