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General NPI Number Information
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NPI Number | 1013316652
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Entity Type | Individual
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Provider Name | SUMIT SURESHKUMAR PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 08/20/2014
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 111 E HIBISCUS BLVD
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City | MELBOURNE
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State | FL
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Zip | 32901-3102
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Country | US
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Telephone | 978-761-9784
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Fax |
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Provider Business Mailing Address
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Address Line | 111 E HIBISCUS BLVD
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City | MELBOURNE
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State | FL
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Zip | 32901-3102
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Country | US
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Telephone | 978-761-9784
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | ME172495
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License Number State | FL
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