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General NPI Number Information
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NPI Number | 1821259961
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Entity Type | Individual
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Provider Name | KUSHI BIMAL BHATT M.D.,
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Gender | Female
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Dates
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Enumeration Date | 06/20/2008
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | 8701 N US HIGHWAY 1
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City | SEBASTIAN
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State | FL
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Zip | 32958-7524
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Country | US
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Telephone | 772-228-8480
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Fax |
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Provider Business Mailing Address
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Address Line | 8701 N US HIGHWAY 1
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City | SEBASTIAN
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State | FL
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Zip | 32958-7524
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Country | US
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Telephone | 722-288-4807
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME150620
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD.30795
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 232160
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License Number State | MA
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