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General NPI Number Information
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NPI Number | 1558362673
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Entity Type | Individual
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Provider Name | DON B BANDARI M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 1652 E 14TH ST STE 100
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City | BROOKLYN
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State | NY
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Zip | 11229-1198
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Country | US
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Telephone | 718-787-0400
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Fax | 718-787-1077
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Provider Business Mailing Address
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Address Line | PO BOX 234041
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City | GREAT NECK
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State | NY
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Zip | 11023-4041
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Country | US
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Telephone | 718-787-0400
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Fax | 718-375-6189
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 199970
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License Number State | NY
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