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General NPI Number Information
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NPI Number | 1780974709
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Entity Type | Individual
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Provider Name | AMRIT BHARDWAJ M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/11/2011
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER BLVD STE 205
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City | CHESTER
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State | PA
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Zip | 19013-3902
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Country | US
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Telephone | 610-447-7410
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Fax | 610-619-8289
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Provider Business Mailing Address
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Address Line | 118 VINEYARDS CT
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City | WILMINGTON
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State | DE
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Zip | 19810-3955
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Country | US
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Telephone |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME128399
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | C1-0012070
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number | C1-0012070
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number | MD455072
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD455072
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License Number State | PA
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