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General NPI Number Information
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NPI Number | 1982859351
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Entity Type | Individual
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Provider Name | BHARGAV THANGALI VARADARAJU MD
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Gender | Male
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Dates
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Enumeration Date | 11/26/2008
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 153 E MONTE PAINTER DR
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-4002
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Country | US
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Telephone | 479-601-2314
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Fax | 888-664-5545
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Provider Business Mailing Address
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Address Line | PO BOX 3126
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City | BENTONVILLE
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State | AR
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Zip | 72712-7711
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Country | US
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Telephone | 479-601-2314
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Fax | 888-664-5545
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | E6225
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | MT187633
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | E 6225
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License Number State | AR
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