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General NPI Number Information
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NPI Number | 1780490979
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Entity Type | Individual
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Provider Name | PABITRA BHANDARI FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 800 LINDEN AVE FL 8
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City | BALTIMORE
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State | MD
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Zip | 21201-4622
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Country | US
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Telephone | 410-328-5720
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Fax |
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Provider Business Mailing Address
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Address Line | 94-1323 HALEULULAAU ST UNIT A2-71
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City | WAIPAHU
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State | HI
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Zip | 96797-6221
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Country | US
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Telephone | 405-314-4202
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R199618
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License Number State | MD
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