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General NPI Number Information
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NPI Number | 1023540390
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Entity Type | Individual
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Provider Name | KOMAL PATEL
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Gender | Female
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Dates
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Enumeration Date | 03/28/2017
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 517 EICHENFELD DRIVE UNIT 102
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City | BRANDON
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State | FL
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Zip | 33511-5942
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Country | US
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Telephone | 813-333-5080
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Fax | 813-773-7717
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Provider Business Mailing Address
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Address Line | 938 CYPRESS VILLAGE BLVD STE A
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City | SUN CITY CENTER
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State | FL
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Zip | 33573-6835
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Country | US
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Telephone | 813-333-5080
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Fax | 813-773-7717
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 163799
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License Number State | FL
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