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General NPI Number Information
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NPI Number | 1548796642
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Entity Type | Individual
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Provider Name | HARNEK BAJAJ MD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2017
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 1776 CAMBRIDGE DR
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City | RICHMOND
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State | VA
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Zip | 23238-3203
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Country | US
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Telephone | 804-368-6474
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Fax |
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Provider Business Mailing Address
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Address Line | 8401 MAYLAND DR STE 4823
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City | RICHMOND
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State | VA
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Zip | 23294-4648
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Country | US
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Telephone | 804-368-6474
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 0101276118
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 0101276118
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 0101276118
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License Number State | VA
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