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General NPI Number Information
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NPI Number | 1942223342
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Entity Type | Organization
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Legal Business Name | SALIGRAMA BHAT MD PA
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3410 TAMIAMI TRAIL SUITE 2
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952
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Country | US
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Telephone | 941-629-8006
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Fax | 941-629-8283
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Provider Business Mailing Address
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Address Line | 3410 TAMIAMI TRAIL SUITE 2
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952
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Country | US
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Telephone | 941-629-8006
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Fax | 941-629-8283
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Authorized Official
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Title or Position | PRESIDENT
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Name | SALIGRAMA BHAT
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Credential | MD PA
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Telephone | 941-629-8006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME0042288
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License Number State | FL
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