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General NPI Number Information
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NPI Number | 1689860157
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Entity Type | Individual
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Provider Name | BHAVNEET BHARAJ M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 06/14/2024
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Provider Practice Location Address
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Address Line | 8901 CLEMENT AVE
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City | PARKVILLE
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State | MD
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Zip | 21234-2603
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Country | US
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Telephone | 443-465-0548
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Fax | 410-870-1431
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Provider Business Mailing Address
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Address Line | 9820 ANVIL CT
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City | PERRY HALL
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State | MD
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Zip | 21128-9824
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Country | US
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Telephone | 443-465-0548
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Fax | 410-870-1431
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0073575
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License Number State | MD
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