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General NPI Number Information
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NPI Number | 1780615856
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Entity Type | Individual
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Provider Name | TIKI BAKHSHI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 4445 KINGS BARN CT UNIT 403
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City | FORT MYERS
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State | FL
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Zip | 33916-8032
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Country | US
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Telephone | 910-364-4007
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Fax |
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Provider Business Mailing Address
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Address Line | 4445 KINGS BARN CT UNIT 403
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City | FORT MYERS
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State | FL
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Zip | 33916-8032
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Country | US
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Telephone | 910-364-4007
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | M1486
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | ME130347
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | M1486
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 01055791A
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License Number State | IN
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