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General NPI Number Information
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NPI Number | 1386696573
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Entity Type | Individual
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Provider Name | INDER BHANVER MD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 08/01/2016
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Provider Practice Location Address
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Address Line | 5365 MAE ANNE AVE SUITE A 35
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City | RENO
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State | NV
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Zip | 89523-1840
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Country | US
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Telephone | 775-787-6463
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Fax | 775-787-6466
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Provider Business Mailing Address
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Address Line | 5365 MAE ANNE AVE STE A35
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City | RENO
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State | NV
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Zip | 89523-1891
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Country | US
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Telephone | 775-762-3828
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Fax | 775-747-5566
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A76645
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 10061
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License Number State | NV
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