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General NPI Number Information
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NPI Number | 1114057544
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Entity Type | Individual
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Provider Name | BHASKAR RAO MD
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Gender | Male
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 10301 GATEWAY BLVD W
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City | EL PASO
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State | TX
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Zip | 79925-7701
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Country | US
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Telephone | 915-455-2266
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Fax | 866-864-8671
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Provider Business Mailing Address
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Address Line | 4849 N. MESA SUITE 201
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City | EL PASO
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State | TX
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Zip | 79912
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Country | US
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Telephone | 915-455-2266
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Fax | 866-864-8671
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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 | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 4301509824
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | P4501
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | P4501
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | P4501
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | P4501
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 24241
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License Number State | NE
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