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General NPI Number Information
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NPI Number | 1154536886
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Entity Type | Individual
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Provider Name | BHAWNA JHA MD
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Gender | Female
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 6620 FLY ROAD SUITE 305
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City | EAST SYRACUSE
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State | NY
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Zip | 13057
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Country | US
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Telephone | 315-464-3938
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Fax | 315-464-5359
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Provider Business Mailing Address
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Address Line | 251 SALINA MEADOWS PARKWAY SUITE 100
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City | SYRACUSE
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State | NY
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Zip | 13212
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Country | US
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Telephone | 315-464-2000
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Fax | 315-464-2010
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 25MA10250300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 01091680A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 329137
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 329137
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | MD429223
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number | 329137
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License Number State | NY
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