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General NPI Number Information
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NPI Number | 1164781019
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Entity Type | Individual
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Provider Name | HARPAUL BHAMRA
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Gender | Male
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Dates
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Enumeration Date | 05/14/2012
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 1530 FRONT ST STE 400
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City | EAST MEADOW
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State | NY
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Zip | 11554-2265
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Country | US
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Telephone | 516-324-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 1530 FRONT ST STE 400
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City | EAST MEADOW
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State | NY
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Zip | 11554-2265
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Country | US
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Telephone |
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Fax |
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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 | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number | 293285
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 2016007984
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License Number State | MO
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