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General NPI Number Information
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NPI Number | 1265872154
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Entity Type | Individual
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Provider Name | NEIL PRAKASH BHALERAO M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/25/2013
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 45 CASTRO ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-1010
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Country | US
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Telephone | 415-600-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 601 VAN NESS AVE STE E3619
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-3200
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Country | US
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Telephone | 415-531-9047
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Fax | 415-213-4659
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A145495
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License Number State | CA
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