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General NPI Number Information
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NPI Number | 1346602588
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Entity Type | Organization
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Legal Business Name | BHAGWAT PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 03/27/2016
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 5 COMPUTER DR W STE 100-07
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City | ALBANY
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State | NY
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Zip | 12205-1613
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Country | US
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Telephone | 518-309-2185
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Fax | 518-245-9180
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Provider Business Mailing Address
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Address Line | 5 COMPUTER DR W STE 100-07
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City | ALBANY
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State | NY
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Zip | 12205-1613
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Country | US
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Telephone | 518-309-2185
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Fax | 518-245-9180
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Authorized Official
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Title or Position | PROVIDER
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Name | RANJIT BHAGWAT
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Credential | PHD
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Telephone | 518-309-2185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 020594
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License Number State | NY
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