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General NPI Number Information
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NPI Number | 1356369227
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Entity Type | Individual
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Provider Name | BINNO DHAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 12/23/2008
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Provider Practice Location Address
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Address Line | 1701 SE HILLMOOR DR SUITE 4
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34952-7552
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Country | US
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Telephone | 772-335-3184
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Fax | 772-335-4256
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Provider Business Mailing Address
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Address Line | 1701 SE HILLMOOR DR SUITE 4
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34952-7552
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Country | US
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Telephone | 772-335-3184
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Fax | 772-335-4256
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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 | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | ME92144
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License Number State | FL
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