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General NPI Number Information
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NPI Number | 1174857437
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Entity Type | Organization
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Legal Business Name | BIMAL TALATI, MD PA
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Dates
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Enumeration Date | 09/18/2009
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Last Update Date | 09/18/2009
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Provider Practice Location Address
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Address Line | 11302 FALLBROOK DR #205
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City | HOUSTON
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State | TX
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Zip | 77065-4235
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Country | US
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Telephone | 281-640-8352
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Fax | 281-640-8357
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Provider Business Mailing Address
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Address Line | 11302 FALLBROOK DR #205
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City | HOUSTON
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State | TX
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Zip | 77065-4235
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Country | US
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Telephone | 281-640-8352
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Fax | 281-640-8357
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. BIMAL TALATI
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Credential | MD
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Telephone | 281-640-8352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L8528
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License Number State | TX
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