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General NPI Number Information
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NPI Number | 1508812827
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Entity Type | Individual
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Provider Name | ARJUN BHATTACHARYA M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 615 FAIRHURST ST
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City | STERLING
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State | CO
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Zip | 80751-4523
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Country | US
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Telephone | 970-466-0651
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Fax |
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Provider Business Mailing Address
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Address Line | 615 FAIRHURST ST
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City | STERLING
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State | CO
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Zip | 80751-4523
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Country | US
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Telephone | 970-466-0651
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Fax |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 40081
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 34960
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 40479
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 37194
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | IL
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