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General NPI Number Information
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NPI Number | 1114106259
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Entity Type | Organization
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Legal Business Name | CHAND BHASKER MD PA
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Dates
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Enumeration Date | 10/25/2007
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Last Update Date | 10/25/2007
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Provider Practice Location Address
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Address Line | 800 QUAIL CREEK DR SUITE 102
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City | AMARILLO
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State | TX
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Zip | 79124-1634
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Country | US
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Telephone | 806-457-8230
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Fax |
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Provider Business Mailing Address
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Address Line | 800 QUAIL CREEK DR SUITE 102
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City | AMARILLO
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State | TX
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Zip | 79124-1634
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Country | US
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Telephone | 806-457-8230
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHAND BHASKER
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Credential | MD
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Telephone | 806-457-8230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E8252
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License Number State | TX
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