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General NPI Number Information
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NPI Number | 1366880353
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Entity Type | Organization
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Legal Business Name | NEETA R. BHARDWAJ, M.D. P.A.
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Dates
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Enumeration Date | 06/12/2013
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Last Update Date | 11/04/2013
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Provider Practice Location Address
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Address Line | 11710 FM 1960 RD W
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City | HOUSTON
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State | TX
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Zip | 77065-3514
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Country | US
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Telephone | 281-469-6097
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Fax |
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Provider Business Mailing Address
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Address Line | 11710 FM 1960 RD W
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City | HOUSTON
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State | TX
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Zip | 77065-3514
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Country | US
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Telephone | 281-469-6097
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NEETA R BHARDWAJ
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Credential | MD
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Telephone | 281-469-6097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 363LP0200X
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 208000000X
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License Number State | TX
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