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General NPI Number Information
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NPI Number | 1275953861
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Entity Type | Individual
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Provider Name | BHARAT RATHAN NARAPAREDDY M.D
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Gender | Male
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Dates
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Enumeration Date | 04/22/2014
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 4500 SAN PABLO RD S
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City | JACKSONVILLE
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State | FL
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Zip | 32224-1865
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Country | US
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Telephone | 904-953-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 200 RETREAT AVE # 3N
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City | HARTFORD
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State | CT
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Zip | 06106-3309
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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 | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | 67223
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 82950
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME169392
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License Number State | FL
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