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General NPI Number Information
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NPI Number | 1376921510
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Entity Type | Individual
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Provider Name | BHASKAR SARKAR
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Gender | Male
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Dates
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Enumeration Date | 05/07/2015
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Last Update Date | 05/07/2015
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Provider Practice Location Address
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Address Line | 3300 EVANS ST APT B18
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City | GREENVILLE
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State | NC
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Zip | 27834-4615
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Country | US
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Telephone | 704-787-4472
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 EVANS ST APT B18
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City | GREENVILLE
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State | NC
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Zip | 27834-4615
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P15244
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License Number State | NC
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