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General NPI Number Information
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NPI Number | 1578819652
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Entity Type | Individual
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Provider Name | BHARAT I NANDU MD
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Gender | Male
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Dates
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Enumeration Date | 07/26/2012
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 65 JAMES ST
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City | EDISON
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State | NJ
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Zip | 08820-3947
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Country | US
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Telephone | 732-321-7189
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Fax | 908-906-4929
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Provider Business Mailing Address
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Address Line | PO BOX 844658
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City | DALLAS
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State | TX
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Zip | 75284-4658
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Country | US
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Telephone | 800-994-0371
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Fax | 254-215-9722
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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 | R6851
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License Number State | TX
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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 | 25MA09693000
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License Number State | NJ
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