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General NPI Number Information
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NPI Number | 1477759215
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Entity Type | Individual
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Provider Name | ROBIN RASHMI BHAVSAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 11/22/2023
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Provider Practice Location Address
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Address Line | 2700 E 29TH ST STE 100
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City | BRYAN
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State | TX
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Zip | 77802-2507
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Country | US
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Telephone | 979-774-3041
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Fax | 979-774-3053
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Provider Business Mailing Address
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Address Line | 2800 S TEXAS AVE SUITE 202
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City | BRYAN
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State | TX
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Zip | 77802-5361
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Country | US
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Telephone | 979-774-2060
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Fax | 979-776-5914
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | P3509
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License Number State | TX
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