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General NPI Number Information
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NPI Number | 1134490121
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Entity Type | Organization
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Legal Business Name | BHAGYA REKHA ARISE MD PA
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Dates
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Enumeration Date | 01/23/2012
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Last Update Date | 01/23/2012
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Provider Practice Location Address
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Address Line | 6033 GENTLE WAY
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City | PLANO
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State | TX
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Zip | 75024-6124
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Country | US
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Telephone | 214-762-5526
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Fax | 469-814-0785
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Provider Business Mailing Address
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Address Line | 6033 GENTLE WAY
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City | PLANO
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State | TX
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Zip | 75024-6124
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Country | US
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Telephone | 214-762-5526
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Fax | 469-814-0785
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Authorized Official
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Title or Position | OWNER
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Name | BHAGYA REKHA ARISE
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Credential | MD
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Telephone | 214-762-5526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | M7014
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | M7014
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License Number State | TX
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