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General NPI Number Information
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NPI Number | 1285842989
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Entity Type | Individual
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Provider Name | ASHISH A BHATT M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 04/24/2020
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Provider Practice Location Address
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Address Line | 1695 NW 9TH AVE 1404
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City | MIAMI
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State | FL
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Zip | 33136-1409
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Country | US
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Telephone | 305-355-7077
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Fax |
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Provider Business Mailing Address
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Address Line | 3001 NE 40TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-5829
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Country | US
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Telephone | 954-980-2700
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | ME96991
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License Number State | FL
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