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General NPI Number Information
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NPI Number | 1053572164
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Entity Type | Individual
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Provider Name | HANUL SRINIVAS BHANDARI MD
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Gender | Male
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Dates
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Enumeration Date | 06/20/2008
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Last Update Date | 07/18/2019
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Provider Practice Location Address
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Address Line | 4358 LOCKHILL SELMA RD STE 106
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City | SHAVANO PARK
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State | TX
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Zip | 78249-4167
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Country | US
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Telephone | 210-686-5000
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Fax | 210-239-5060
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Provider Business Mailing Address
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Address Line | 4358 LOCKHILL SELMA RD STE 106
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City | SHAVANO PARK
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State | TX
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Zip | 78249-4167
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Country | US
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Telephone | 210-686-5000
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Fax | 210-239-5060
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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 | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | P2828
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | P2828
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License Number State | TX
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