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General NPI Number Information
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NPI Number | 1548525413
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Entity Type | Individual
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Provider Name | RAMNEESH BAWEJA MD
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Gender | Male
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Dates
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Enumeration Date | 07/06/2012
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 5501 MEDICAL PARKWAY DR
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City | TEXARKANA
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State | TX
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Zip | 75503-4624
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Country | US
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Telephone | 430-200-2793
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Fax | 903-231-0142
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Provider Business Mailing Address
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Address Line | PO BOX 5017
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City | TEXARKANA
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State | TX
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Zip | 75505-5017
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Country | US
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Telephone | 430-200-2793
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Fax | 903-231-0142
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD476412
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | E-10469
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA11311400
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | Q9575
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License Number State | TX
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