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General NPI Number Information
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NPI Number | 1053057240
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Entity Type | Individual
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Provider Name | USHA BHANDARI
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Gender | Female
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Dates
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Enumeration Date | 05/10/2022
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 14448 DUBLIN DR
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City | CHINO
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State | CA
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Zip | 91710-9050
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Country | US
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Telephone | 909-480-5225
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Fax |
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Provider Business Mailing Address
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Address Line | 14448 DUBLIN DR
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City | CHINO
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State | CA
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Zip | 91710-9050
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Country | US
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Telephone | 190-948-0522
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95021865
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License Number State | CA
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