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General NPI Number Information
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NPI Number | 1609545326
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Entity Type | Organization
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Legal Business Name | PAYAL JHAWAR, MD LLC
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Dates
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Enumeration Date | 09/07/2021
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Last Update Date | 09/07/2021
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Provider Practice Location Address
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Address Line | 2810 MANATEE AVE E
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City | BRADENTON
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State | FL
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Zip | 34208-1828
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Country | US
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Telephone | 941-777-5118
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Fax | 469-242-9547
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Provider Business Mailing Address
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Address Line | 366 CHANTILLY TRL
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City | BRADENTON
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State | FL
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Zip | 34212-5020
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Country | US
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Telephone | 860-519-2376
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND CEO
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Name | DR. PAYAL JHAWAR
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Credential | MD
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Telephone | 860-519-2376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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