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General NPI Number Information
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NPI Number | 1326142803
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Entity Type | Individual
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Provider Name | EVA L BHADRA MD
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Gender | Female
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 08/20/2009
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Provider Practice Location Address
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Address Line | 13241 RAVENNA ROAD
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City | CHARDON
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State | OH
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Zip | 44024
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Country | US
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Telephone | 440-285-9166
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Fax | 440-285-1806
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Provider Business Mailing Address
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Address Line | 13241 RAVENNA ROAD
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City | CHARDON
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State | OH
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Zip | 44024
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Country | US
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Telephone | 440-285-9166
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Fax | 440-285-1806
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35069440
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License Number State | OH
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