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General NPI Number Information
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NPI Number | 1265928501
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Entity Type | Individual
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Provider Name | JANAK T. BAHIRWANI MD
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Gender | Male
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Dates
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Enumeration Date | 07/10/2018
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Last Update Date | 07/03/2024
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Provider Practice Location Address
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Address Line | 1270 LEE BLVD STE A
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City | RICHLAND
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State | WA
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Zip | 99352-4231
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Country | US
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Telephone | 509-942-3180
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Fax | 509-943-9722
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Provider Business Mailing Address
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Address Line | 550 GAGE BLVD STE 101
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City | RICHLAND
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State | WA
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Zip | 99352-9532
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Country | US
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Telephone | 509-473-0637
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Fax | 509-627-2983
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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 | MD61474274
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MT216962
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD61474274
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License Number State | WA
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