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General NPI Number Information
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NPI Number | 1801664347
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Entity Type | Organization
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Legal Business Name | BHATNAGAR PROSTATE CANCER INSTITUTE OF NEVADA PC
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Dates
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Enumeration Date | 12/14/2023
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 4425 S PECOS RD STE 3
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City | LAS VEGAS
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State | NV
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Zip | 89121-5039
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Country | US
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Telephone | 702-553-4901
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Fax | 702-553-4902
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Provider Business Mailing Address
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Address Line | PO BOX 15088
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City | PHOENIX
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State | AZ
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Zip | 85060-5088
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Country | US
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Telephone | 702-553-4901
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Fax | 702-553-4902
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Authorized Official
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Title or Position | OWNER AND PHYSICIAN
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Name | AJAY BHATNAGAR
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Credential |
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Telephone | 702-553-4901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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