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General NPI Number Information
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NPI Number | 1295777654
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Entity Type | Individual
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Provider Name | BHUSHAN H. PANDYA MD
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Gender | Male
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 08/30/2007
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Provider Practice Location Address
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Address Line | 501 RISON ST SUITE 130
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City | DANVILLE
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State | VA
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Zip | 24541-2458
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Country | US
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Telephone | 434-791-1152
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Fax | 434-797-4745
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Provider Business Mailing Address
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Address Line | 501 RISON ST SUITE 130
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City | DANVILLE
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State | VA
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Zip | 24541-2458
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Country | US
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Telephone | 434-791-1152
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Fax | 434-797-4745
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 0101037615
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License Number State | VA
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