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General NPI Number Information
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NPI Number | 1558472605
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Entity Type | Organization
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Legal Business Name | MUKESH BHATT MD INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 12/27/2012
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Provider Practice Location Address
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Address Line | 970 E WASHINGTON ST STE 4 D
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City | MEDINA
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State | OH
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Zip | 44256-3332
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Country | US
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Telephone | 330-722-5422
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Fax | 330-722-8396
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Provider Business Mailing Address
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Address Line | 970 E WASHINGTON ST STE 4 D
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City | MEDINA
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State | OH
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Zip | 44256-3332
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Country | US
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Telephone | 330-722-5422
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Fax | 330-722-8396
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Authorized Official
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Title or Position | MD
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Name | DR. MUKESH BHATT
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Credential | MD
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Telephone | 330-722-5422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 57526
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License Number State | OH
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