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General NPI Number Information
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NPI Number | 1669901658
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Entity Type | Organization
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Legal Business Name | GNH BHIMASANI INC
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Dates
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Enumeration Date | 06/05/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 321 LOIS LN
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City | STATE COLLEGE
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State | PA
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Zip | 16801-2561
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Country | US
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Telephone | 814-861-3012
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Fax | 814-689-1742
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Provider Business Mailing Address
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Address Line | 321 LOIS LN
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City | STATE COLLEGE
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State | PA
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Zip | 16801-2561
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Country | US
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Telephone | 814-861-3012
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Fax | 814-689-1742
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Authorized Official
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Title or Position | MD
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Name | HEMANTH K BHIMASANI
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Credential |
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Telephone | 814-861-3012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD424085
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License Number State | PA
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