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General NPI Number Information
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NPI Number | 1013017912
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Entity Type | Organization
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Legal Business Name | JOLET PATIL AND RIMER PEDIATRICS PA
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 05/11/2011
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Provider Practice Location Address
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Address Line | 7900 FM 1826 220
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City | AUSTIN
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State | TX
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Zip | 78737-1407
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Country | US
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Telephone | 512-288-9669
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Fax | 512-498-0317
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Provider Business Mailing Address
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Address Line | 7900 FM 1826 220
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City | AUSTIN
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State | TX
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Zip | 78737-1407
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Country | US
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Telephone | 512-288-9669
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Fax | 512-498-0317
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | VAISHALEE SANJAY PATIL
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Credential | M.D.
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Telephone | 512-288-9669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | L2538
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License Number State | TX
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