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General NPI Number Information
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NPI Number | 1982238812
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Entity Type | Organization
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Legal Business Name | MDUSA, LLC
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Dates
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Enumeration Date | 02/29/2020
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 7310 KINGS PARK RD
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City | TOLEDO
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State | OH
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Zip | 43617-2323
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Country | US
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Telephone | 419-843-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 7310 KINGS PARK RD
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City | TOLEDO
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State | OH
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Zip | 43617-2323
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Country | US
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Telephone | 419-843-8000
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Fax | 833-963-0913
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Authorized Official
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Title or Position | CEO
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Name | VINOD BHANDARI
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Credential | MD
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Telephone | 419-843-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207NP0225X
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Taxonomy Name | Pediatric Dermatology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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