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General NPI Number Information
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NPI Number | 1992001903
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Entity Type | Individual
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Provider Name | MUSHTAQ AHMAD BHAT MD
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Gender | Male
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Dates
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Enumeration Date | 02/08/2011
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Last Update Date | 04/02/2018
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Provider Practice Location Address
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Address Line | 3000 N INTERSTATE 35
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City | DENTON
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State | TX
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Zip | 76201-5119
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Country | US
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Telephone | 817-250-4906
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Fax | 817-250-4815
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Provider Business Mailing Address
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Address Line | 3000 N INTERSTATE 35
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City | DENTON
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State | TX
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Zip | 76201-5119
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Country | US
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Telephone | 817-250-4906
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Fax | 817-250-4815
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 272740
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | Q6153
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License Number State | TX
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