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General NPI Number Information
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NPI Number | 1316322985
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Entity Type | Individual
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Provider Name | TARUN JACOB BATHINI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/24/2015
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 406 S 30TH AVE STE 101
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City | YAKIMA
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State | WA
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Zip | 98902-3713
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Country | US
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Telephone | 509-248-7715
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Fax |
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Provider Business Mailing Address
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Address Line | 406 S 30TH AVE STE 101
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City | YAKIMA
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State | WA
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Zip | 98902-3713
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Country | US
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Telephone | 509-248-7715
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD61560553
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License Number State | WA
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