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General NPI Number Information
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NPI Number | 1598093098
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Entity Type | Organization
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Legal Business Name | MANICK BHARDWAJ, MD, INC
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Dates
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Enumeration Date | 11/23/2009
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Last Update Date | 11/23/2009
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Provider Practice Location Address
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Address Line | 4817 CENTENNIAL PLAZA WAY SUITE A
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City | BAKERSFIELD
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State | CA
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Zip | 93312
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Country | US
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Telephone | 661-387-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 4817 CENTENNIAL PLAZA WAY SUITE A
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City | BAKERSFIELD
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State | CA
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Zip | 93312
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Country | US
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Telephone | 661-387-6700
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MANICK BHARDWAJ
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Credential | MD
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Telephone | 661-387-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A45855
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License Number State | CA
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