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General NPI Number Information
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NPI Number | 1891257226
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Entity Type | Individual
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Provider Name | VAIBHAV BATHEJA
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Gender | Male
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Dates
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Enumeration Date | 04/04/2019
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 125 HOSPITAL CENTER BLVD STE 200
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City | STAFFORD
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State | VA
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Zip | 22554-6202
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Country | US
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Telephone | 540-374-3212
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 FALL HILL AVE STE 317
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-3343
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Country | US
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Telephone | 540-741-4257
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 0102208752
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License Number State | VA
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