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General NPI Number Information
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NPI Number | 1588795603
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Entity Type | Organization
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Legal Business Name | BHUPESH HASMUKH DIHENIA MD PA
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 04/19/2013
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Provider Practice Location Address
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Address Line | 3815 23RD ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1809
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Country | US
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Telephone | 806-722-3500
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Fax | 806-796-0689
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Provider Business Mailing Address
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Address Line | 3815 23RD ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1809
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Country | US
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Telephone | 806-722-3500
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Fax | 806-796-0689
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Authorized Official
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Title or Position | CEO
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Name | DR. BHUPESH H DIHENIA
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Credential | M.D.
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Telephone | 806-722-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number | K3156
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | K3156
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License Number State | TX
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