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General NPI Number Information
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NPI Number | 1467027623
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Entity Type | Organization
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Legal Business Name | SIRAJ A BHADSAVLE M D PLLC
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 05/21/2021
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Provider Practice Location Address
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Address Line | 507 PLUM ST STE 310
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City | SYRACUSE
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State | NY
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Zip | 13204-1469
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Country | US
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Telephone | 718-222-5999
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Fax | 718-387-6429
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Provider Business Mailing Address
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Address Line | 240 E 39TH ST APT 28A
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City | NEW YORK
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State | NY
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Zip | 10016-7208
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Country | US
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Telephone | 718-222-5999
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Fax | 718-387-6429
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Authorized Official
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Title or Position | CEO
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Name | SIRAJ BHADSAVLE
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Credential | MD
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Telephone | 718-222-5999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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