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General NPI Number Information
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NPI Number | 1508317413
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Entity Type | Individual
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Provider Name | RASTRIYATA BHANDARI FNP
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Gender | Female
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Dates
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Enumeration Date | 10/17/2016
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 4376 GERMANNA HWY
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City | LOCUST GROVE
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State | VA
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Zip | 22508-2008
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Country | US
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Telephone | 540-972-7798
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 749112
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City | ATLANTA
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State | GA
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Zip | 30374-9112
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Country | US
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Telephone | 434-295-1000
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Fax | 303-825-7927
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP131709
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | C-RXN.0000259-C-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024186263
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License Number State | VA
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