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General NPI Number Information
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NPI Number | 1376511766
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Entity Type | Individual
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Provider Name | NEIL BHARGAVA MD
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Gender | Male
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 12/13/2010
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Provider Practice Location Address
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Address Line | 2316 E MEYER BLVD
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City | KANSAS CITY
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State | MO
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Zip | 64132-1136
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Country | US
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Telephone | 816-276-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 4801 W 110TH ST SUITE 100
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1214
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Country | US
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Telephone | 913-491-0413
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Fax | 913-491-0413
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 48019
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License Number State | WI
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