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General NPI Number Information
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NPI Number | 1447392964
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Entity Type | Individual
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Provider Name | BHARAT C BHATT D.D.S
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Gender | Male
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 02/23/2010
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Provider Practice Location Address
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Address Line | 6081 ATLANTIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90805-3012
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Country | US
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Telephone | 562-422-6003
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Fax | 562-422-6003
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Provider Business Mailing Address
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Address Line | 6081 ATLANTIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90805-3012
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Country | US
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Telephone | 562-422-6003
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Fax | 562-422-6003
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D28906
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | B28906
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License Number State | CA
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