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General NPI Number Information
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NPI Number | 1619947645
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Entity Type | Individual
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Provider Name | BHARTI WADHWA RPT
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Gender | Female
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 5796 N PLUMBAY PARKWAY
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City | TAMARAC
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State | FL
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Zip | 33321
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Country | US
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Telephone | 954-562-5855
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Fax | 954-722-8891
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Provider Business Mailing Address
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Address Line | 10423 S BARNSLEY DR.
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City | PARKLAND
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State | FL
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Zip | 33076-4406
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Country | US
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Telephone | 954-621-7072
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Fax | 954-722-8891
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT14086
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License Number State | FL
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