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General NPI Number Information
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NPI Number | 1194008664
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Entity Type | Individual
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Provider Name | MAHENDRA D BHIMANI R.PH
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Gender | Male
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Dates
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Enumeration Date | 09/21/2011
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 409 HARLEYSVILLE PIKE
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City | SOUDERTON
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State | PA
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Zip | 18964-2142
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Country | US
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Telephone | 215-721-1050
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Fax |
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Provider Business Mailing Address
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Address Line | 2746 FISCHER RD
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City | HATFIELD
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State | PA
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Zip | 19440-2899
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP042263L
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License Number State | PA
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