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General NPI Number Information
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NPI Number | 1891881686
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Entity Type | Individual
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Provider Name | PRIYADARSHINI ANIL BHATE M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1650 GRAND CONCOURSE BRONX LEBANON HOSPITAL CENTER
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City | BRONX
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State | NY
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Zip | 10457
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Country | US
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Telephone | 718-518-5083
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Fax | 718-518-5079
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Provider Business Mailing Address
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Address Line | 107 LORING AVE
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City | EDISON
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State | NJ
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Zip | 08817-4305
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Country | US
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Telephone | 732-393-9192
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 210737
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License Number State | NY
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