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General NPI Number Information
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NPI Number | 1841745338
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Entity Type | Organization
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Legal Business Name | RICHMOND MEDICAL PRACTICE, PLLC
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Dates
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Enumeration Date | 08/24/2016
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Last Update Date | 08/24/2016
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Provider Practice Location Address
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Address Line | 2066 RICHMOND AVE STE 202
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3961
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Country | US
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Telephone | 973-903-0434
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4234
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City | WARREN
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State | NJ
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Zip | 07059-0234
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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 | MD
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Name | ANURAG BHATIA
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Credential |
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Telephone | 973-903-0434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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