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General NPI Number Information
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NPI Number | 1861748089
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Entity Type | Individual
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Provider Name | RAJIV BHATTARAI M.D
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Gender | Male
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Dates
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Enumeration Date | 07/25/2012
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Last Update Date | 01/08/2021
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Provider Practice Location Address
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Address Line | 800 E DAWSON ST
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City | TYLER
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State | TX
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Zip | 75701-2036
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Country | US
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Telephone | 903-606-4129
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 LANSDOWNE AVE MERCY FITZERALD HOSPITAL,MSB,MEZZANINE LEVEL,MS #40
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City | DARBY
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State | PA
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Zip | 19023-1200
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Country | US
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Telephone | 610-237-4684
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Fax | 610-237-4762
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MT200771
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License Number State | PA
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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 | Q3483
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License Number State | TX
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