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General NPI Number Information
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NPI Number | 1356078869
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Entity Type | Organization
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Legal Business Name | BRIJ BHAMBI MD INC
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Dates
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Enumeration Date | 08/04/2022
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Last Update Date | 08/04/2022
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Provider Practice Location Address
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Address Line | 432 W J ST STE A
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City | TEHACHAPI
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State | CA
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Zip | 93561-1349
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Country | US
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Telephone | 661-332-4278
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Fax |
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Provider Business Mailing Address
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Address Line | 2509 CRAIGNORE ST
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City | BAKERSFIELD
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State | CA
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Zip | 93311-3742
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Country | US
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Telephone | 661-332-4278
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRIJESH BHAMBI
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Credential | MD
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Telephone | 661-332-4278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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