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General NPI Number Information
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NPI Number | 1386616308
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Entity Type | Individual
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Provider Name | DINESH G BHAMBHVANI MD
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Gender | Male
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 1325 PENNSYLVANIA AVE 610
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City | FORT WORTH
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State | TX
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Zip | 76104-2158
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Country | US
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Telephone | 817-962-2340
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Fax | 817-840-5870
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Provider Business Mailing Address
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Address Line | 1325 PENNSYLVANIA AVE 610
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City | FORT WORTH
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State | TX
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Zip | 76104-2158
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Country | US
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Telephone | 817-962-2340
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Fax | 817-840-5870
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 26089
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | N4948
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License Number State | TX
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