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General NPI Number Information
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NPI Number | 1457758286
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Entity Type | Individual
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Provider Name | SHRITI BHADEL PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 06/28/2023
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Provider Practice Location Address
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Address Line | 13299 SOUTH ST
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City | CERRITOS
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State | CA
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Zip | 90703-7307
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Country | US
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Telephone | 562-865-8750
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Fax | 562-865-8715
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Provider Business Mailing Address
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Address Line | 115 EASTPARK DR STE 300
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City | BRENTWOOD
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State | TN
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Zip | 37027-7548
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Country | US
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Telephone | 615-600-4071
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Fax | 615-309-8341
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 53391
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License Number State | CA
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