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General NPI Number Information
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NPI Number | 1619989639
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Entity Type | Individual
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Provider Name | ATUL BHASIN MD
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Gender | Male
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 03/27/2018
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Provider Practice Location Address
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Address Line | 1001 W MAIN ST STE A
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City | FREEHOLD
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State | NJ
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Zip | 07728-2579
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Country | US
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Telephone | 732-637-8444
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Fax | 732-637-8440
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Provider Business Mailing Address
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Address Line | 8 BARCLAY ST
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1005
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Country | US
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Telephone | 732-637-8444
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Fax | 732-637-8440
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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 | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 25MA08006600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA08006600
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License Number State | NJ
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