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General NPI Number Information
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NPI Number | 1346453842
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Entity Type | Organization
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Legal Business Name | Y M BHATNAGAR MD INC
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 75 PICKERING ST
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City | BROOKVILLE
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State | PA
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Zip | 15825-1243
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Country | US
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Telephone | 814-849-4611
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Fax | 814-849-8746
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Provider Business Mailing Address
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Address Line | 75 PICKERING ST
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City | BROOKVILLE
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State | PA
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Zip | 15825-1243
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Country | US
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Telephone | 814-849-4611
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Fax | 814-849-8746
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | DR. YUDHISHTER MOHAN BHATNAGAR
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Credential | M.D.
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Telephone | 814-849-4611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | MD018998E
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License Number State | PA
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