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General NPI Number Information
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NPI Number | 1659721785
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Entity Type | Organization
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Legal Business Name | BELLEVUE NEUROLOGY AND NEUROSCIENCE PLLC
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Dates
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Enumeration Date | 06/20/2016
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Last Update Date | 04/12/2021
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Provider Practice Location Address
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Address Line | 14100 SE 36TH ST STE 106
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City | BELLEVUE
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State | WA
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Zip | 98006-1657
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Country | US
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Telephone | 425-786-0080
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Fax | 425-679-6005
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Provider Business Mailing Address
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Address Line | 14100 SE 36TH ST STE 106
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City | BELLEVUE
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State | WA
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Zip | 98006-1657
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Country | US
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Telephone | 425-786-0080
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Fax | 425-679-6005
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Authorized Official
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Title or Position | OWNER/MANAGING DIRECTOR
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Name | ROOPA BHAT
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Credential | M.D., PH. D.
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Telephone | 650-799-4954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 60380683
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License Number State | WA
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