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General NPI Number Information
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NPI Number | 1457517518
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Entity Type | Organization
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Legal Business Name | SHARLAW BHARGAVA, MD, PA
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Dates
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Enumeration Date | 07/29/2008
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Last Update Date | 07/29/2008
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Provider Practice Location Address
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Address Line | 5850 TOWN AND COUNTRY BLVD STE 1202
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City | FRISCO
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State | TX
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Zip | 75034-6962
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Country | US
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Telephone | 972-668-1564
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1135
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City | PROSPER
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State | TX
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Zip | 75078-1135
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHARLAW BHARGAVA
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Credential | M.D.
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Telephone | 972-668-1564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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