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NPI 1700694809

NPI 1700694809 : BHATIA PULMONARY REHABILITATION LLC : HENDERSON, NV

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General NPI Number Information
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    NPI Number           |    1700694809
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    Entity Type          |    Organization 
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    Legal Business Name  |    BHATIA PULMONARY REHABILITATION LLC 
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Dates
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    Enumeration Date     |    12/20/2024
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    Last Update Date     |    12/20/2024
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Provider Practice Location Address
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    Address Line         |    2759 SUNRIDGE HEIGHTS PKWY 
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    City                 |    HENDERSON
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    State                |    NV
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    Zip                  |    89052-5046
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    Country              |    US
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    Telephone            |    725-755-5864
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    Fax                  |    702-268-7081
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Provider Business Mailing Address
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    Address Line         |    2759 SUNRIDGE HEIGHTS PKWY 
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    City                 |    HENDERSON
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    State                |    NV
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    Zip                  |    89052-5046
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    Country              |    US
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    Telephone            |    725-755-5864
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    Fax                  |    702-268-7081
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Authorized Official
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    Title or Position    |    CREDENTIALING
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    Name                 |     JANICE  DELOS REYES 
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    Credential           |    
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    Telephone            |    775-309-4134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225400000X
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    Taxonomy Name        |    Rehabilitation Practitioner
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    License Number       |    
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    License Number State |    
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