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General NPI Number Information
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NPI Number | 1336294644
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Entity Type | Individual
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Provider Name | RISHI K BHALLA PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5000 MCKNIGHT RD NORTH HILLS PSYCHOLOGICAL SERVICES , SUITE 207
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City | PITTSBURGH
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State | PA
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Zip | 15237-3420
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Country | US
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Telephone | 412-367-7781
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Fax | 412-367-5134
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Provider Business Mailing Address
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Address Line | 805 CARLA DR
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City | PITTSBURGH
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State | PA
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Zip | 15238-3309
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Country | US
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Telephone | 401-868-0996
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Fax | 412-586-9111
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PS00988
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License Number State | RI
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