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General NPI Number Information
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NPI Number | 1366453847
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Entity Type | Individual
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Provider Name | MINI BHASKAR M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 08/08/2023
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Provider Practice Location Address
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Address Line | 210 9TH ST SE
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City | ROCHESTER
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State | MN
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Zip | 55904-6756
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Country | US
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Telephone | 507-288-3443
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Fax |
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Provider Business Mailing Address
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Address Line | 210 9TH ST SE
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City | ROCHESTER
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State | MN
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Zip | 55904-6756
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Country | US
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Telephone | 507-288-3443
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Fax |
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | D0065841
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 055181
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 72802
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License Number State | MN
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