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General NPI Number Information
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NPI Number | 1851880835
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Entity Type | Individual
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Provider Name | NAKUL BHARDWAJ DO, MPH
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Gender | Male
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Dates
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Enumeration Date | 05/06/2018
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Last Update Date | 05/13/2024
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Provider Practice Location Address
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Address Line | 10753 FALLS RD STE 305
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City | LUTHERVILLE
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State | MD
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Zip | 21093-4598
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Country | US
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Telephone | 410-616-7420
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Fax | 410-583-2883
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Provider Business Mailing Address
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Address Line | 6201 GREENLEIGH AVE
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-2004
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Country | US
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Telephone | 410-933-6423
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 13896702-1204
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | H91563
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License Number State | MD
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