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General NPI Number Information
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NPI Number | 1790850667
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Entity Type | Individual
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Provider Name | CHANDRAKANT K BHATIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9131 PISCATAWAY RD SUITE 610
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City | CLINTON
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State | MD
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Zip | 20735-2508
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Country | US
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Telephone | 301-868-2106
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Fax | 301-868-6757
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Provider Business Mailing Address
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Address Line | 9131 PISCATAWAY RD SUITE 610
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City | CLINTON
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State | MD
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Zip | 20735-2508
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Country | US
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Telephone | 301-868-2106
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Fax | 301-868-6757
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | D0014824
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License Number State | MD
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