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General NPI Number Information
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NPI Number | 1902046493
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Entity Type | Individual
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Provider Name | MOHIT BANSAL MD
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Gender | Male
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Dates
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Enumeration Date | 02/24/2009
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Last Update Date | 06/30/2022
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Provider Practice Location Address
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Address Line | 1988 GULF TO BAY BLVD
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City | CLEARWATER
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State | FL
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Zip | 33765-3550
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Country | US
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Telephone | 727-953-8090
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Fax | 727-953-8088
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Provider Business Mailing Address
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Address Line | 1988 GULF TO BAY BLVD
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City | CLEARWATER
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State | FL
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Zip | 33765-3550
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Country | US
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Telephone | 727-953-8090
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Fax | 727-953-8088
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD2010-0018
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 246504
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME110211
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License Number State | FL
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