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General NPI Number Information
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NPI Number | 1417993510
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Entity Type | Individual
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Provider Name | VASDEV BHAGIA M.D
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Gender | Male
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | 4024 BROOKHAVEN AVE
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City | PASADENA
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State | TX
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Zip | 77504-1902
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Country | US
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Telephone | 713-944-2324
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Fax | 713-944-1539
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Provider Business Mailing Address
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Address Line | 806 SHADY BEND LN
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-3662
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Country | US
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Telephone | 832-858-0943
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Fax | 281-648-9545
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | G4828
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License Number State | TX
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