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General NPI Number Information
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NPI Number | 1386283877
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Entity Type | Organization
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Legal Business Name | DR. ANITA BHAT, PLLC
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Dates
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Enumeration Date | 12/31/2019
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Last Update Date | 12/31/2019
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Provider Practice Location Address
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Address Line | 300 W EARP ST STE G
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-8763
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Country | US
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Telephone | 919-649-4626
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Fax |
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Provider Business Mailing Address
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Address Line | 141 WARM WOOD LN
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City | APEX
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State | NC
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Zip | 27539-7793
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Country | US
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Telephone | 919-649-4626
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL PROFESSION
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Name | ANITA BHAT
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Credential | PSYD, MA, LPCA
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Telephone | 919-649-4626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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