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General NPI Number Information
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NPI Number | 1205576253
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Entity Type | Individual
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Provider Name | ROMA BHANDARKAR MD
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Gender | Female
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Dates
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Enumeration Date | 03/29/2022
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 17189 INTERSTATE 45 SOUTH, SUITE 235
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City | WOODLANDS
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State | TX
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Zip | 77385-1501
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Country | US
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Telephone | 713-500-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 404 MILAM CREEK DR
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City | KYLE
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State | TX
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Zip | 78640-3358
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Country | US
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Telephone | 214-549-9028
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | V7828
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License Number State | TX
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