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General NPI Number Information
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NPI Number | 1639039985
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Entity Type | Individual
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Provider Name | SUMEET BHARDWAJ PTA
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Gender | Male
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 150 GATEWAY DR STE A
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City | LINCOLN
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State | CA
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Zip | 95648-3316
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Country | US
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Telephone | 916-434-9572
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Fax | 916-434-9063
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Provider Business Mailing Address
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Address Line | 1119 WALLACE WAY
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City | YUBA CITY
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State | CA
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Zip | 95993-9122
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Country | US
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Telephone | 916-434-9572
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Fax |
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 54531
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License Number State | CA
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