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General NPI Number Information
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NPI Number | 1972821924
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Entity Type | Individual
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Provider Name | PRASAD BHANDARY MD
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Gender | Male
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Dates
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Enumeration Date | 05/13/2010
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Last Update Date | 09/11/2018
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Provider Practice Location Address
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Address Line | UNIVERSITY OF KENTUCKY DEPARTMENT OF 800 ROSE STREET, MN150
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City | LEXINGTON
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State | KY
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Zip | 40536-0298
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Country | US
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Telephone | 347-893-9207
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Fax |
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Provider Business Mailing Address
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Address Line | 300 LAKEBEND CT
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City | LEXINGTON
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State | KY
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Zip | 40515-5600
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Country | US
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Telephone | 347-689-3920
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 46117
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License Number State | KY
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