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General NPI Number Information
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NPI Number | 1568680593
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Entity Type | Individual
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Provider Name | BHAVANA YERABATI MOCHERLA MD
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Gender | Female
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 09/02/2022
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Provider Practice Location Address
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Address Line | 12823 GULF FWY
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City | HOUSTON
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State | TX
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Zip | 77034-4807
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Country | US
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Telephone | 713-804-5962
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Fax | 866-594-1327
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Provider Business Mailing Address
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Address Line | 3384 LEAFSTONE LN
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City | PEARLAND
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State | TX
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Zip | 77584-6406
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Country | US
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Telephone | 432-528-9752
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | Q8570
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License Number State | TX
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