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General NPI Number Information
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NPI Number | 1669429528
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Entity Type | Individual
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Provider Name | ISHALI BHATIA DPM
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Gender | Female
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 06/11/2008
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Provider Practice Location Address
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Address Line | 1561 LONG POND RD
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City | ROCHESTER
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State | NY
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Zip | 14626-4117
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Country | US
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Telephone | 585-723-0030
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Fax | 585-723-8478
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Provider Business Mailing Address
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Address Line | 790 LINDEN AVE
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City | ROCHESTER
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State | NY
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Zip | 14625-2716
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Country | US
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Telephone | 585-385-9030
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Fax | 585-385-9124
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N005907
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License Number State | NY
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