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General NPI Number Information
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NPI Number | 1730050386
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Entity Type | Individual
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Provider Name | CECIL BHATIYA PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 11850 PIERCE ST STE 200
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City | RIVERSIDE
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State | CA
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Zip | 92505-5184
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Country | US
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Telephone | 951-465-3664
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Fax |
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Provider Business Mailing Address
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Address Line | 8359 FISKE DR
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City | EASTVALE
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State | CA
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Zip | 92880-1061
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Country | US
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Telephone | 951-314-5135
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Fax |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95030625
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License Number State | CA
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