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General NPI Number Information
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NPI Number | 1427279488
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Entity Type | Organization
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Legal Business Name | NIKHIL BHARDWAJ MD PA
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 10/22/2010
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Provider Practice Location Address
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Address Line | 21355 E DIXIE HWY SUITE 102
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City | AVENTURA
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State | FL
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Zip | 33180-1238
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Country | US
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Telephone | 305-932-2552
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Fax | 305-932-2503
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Provider Business Mailing Address
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Address Line | 21355 E DIXIE HWY SUITE 102
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City | AVENTURA
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State | FL
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Zip | 33180-1238
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Country | US
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Telephone | 305-932-2552
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Fax | 305-932-2503
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Authorized Official
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Title or Position | OWNER
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Name | NIKHIL BHARDWAJ
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Credential | MD, PA
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Telephone | 305-932-2552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | ME79930
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME79930
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License Number State | FL
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