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General NPI Number Information
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NPI Number | 1003908005
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Entity Type | Individual
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Provider Name | RAJESH MANHARBHAI PATEL M.D
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Gender | Male
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1276 FULTON AVE
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City | BRONX
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State | NY
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Zip | 10456-3402
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Country | US
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Telephone | 718-901-8222
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Fax |
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Provider Business Mailing Address
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Address Line | 1466 RATZER RD
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City | WAYNE
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State | NJ
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Zip | 07470-2430
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Country | US
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Telephone | 973-720-0755
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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 | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 215756
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License Number State | NY
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