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General NPI Number Information
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NPI Number | 1023764271
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Entity Type | Organization
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Legal Business Name | PREET PATEL, M.D. A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 02/25/2022
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Last Update Date | 05/18/2022
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Provider Practice Location Address
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Address Line | 1211 SUNSET PLAZA DR APT 410
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City | LOS ANGELES
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State | CA
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Zip | 90069-1259
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Country | US
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Telephone | 267-391-8568
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Fax |
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Provider Business Mailing Address
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Address Line | 1211 SUNSET PLAZA DR APT 410
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City | LOS ANGELES
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State | CA
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Zip | 90069-1259
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Country | US
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Telephone | 267-391-8568
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Fax |
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Authorized Official
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Title or Position | FOUNDER & MEDICAL DIRECTOR
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Name | DR. PREET PATEL
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Credential | M.D.
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Telephone | 267-391-8568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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