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General NPI Number Information
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NPI Number | 1790973733
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Entity Type | Individual
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Provider Name | MANISHA K BHATT
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Gender | Female
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 10/03/2007
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Provider Practice Location Address
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Address Line | 255 PHILLIPI RD
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City | COLUMBUS
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State | OH
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Zip | 43228-1307
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Country | US
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Telephone | 614-272-1985
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Fax |
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Provider Business Mailing Address
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Address Line | 4281 DAYLILY DR
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City | POWELL
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State | OH
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Zip | 43065-7020
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03-3-25424
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License Number State | OH
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