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General NPI Number Information
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NPI Number | 1003876657
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Entity Type | Individual
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Provider Name | BIPIN C PATADIA MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 06/17/2010
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Provider Practice Location Address
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Address Line | 630 N 13TH AVE # D
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City | UPLAND
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State | CA
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Zip | 91786
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Country | US
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Telephone | 909-946-5851
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Fax | 909-931-9437
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Provider Business Mailing Address
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Address Line | 630 N 13TH AVE # D
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City | UPLAND
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State | CA
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Zip | 91786
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Country | US
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Telephone | 909-946-5851
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Fax | 909-931-9437
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | A31085
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A31085
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License Number State | CA
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