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General NPI Number Information
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NPI Number | 1215012422
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Entity Type | Individual
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Provider Name | DR. GOVIND BHAGAT
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Gender | Male
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1402 S GRAND BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63104-1004
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Country | US
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Telephone | 314-977-4644
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Fax |
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Provider Business Mailing Address
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Address Line | 250 CABRINI BLVD APT 7A
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City | NEW YORK
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State | NY
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Zip | 10033-1151
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Country | US
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Telephone | 212-781-8474
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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 | 207ZH0000X
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Taxonomy Name | Hematology (Pathology) Physician
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License Number | 218901-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207ZH0000X
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Taxonomy Name | Hematology (Pathology) Physician
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License Number | 2025020823
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License Number State | MO
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