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General NPI Number Information
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NPI Number | 1053024927
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Entity Type | Individual
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Provider Name | VIRAJ PATEL
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Gender | Male
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Dates
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Enumeration Date | 01/05/2023
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Last Update Date | 01/05/2023
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Provider Practice Location Address
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Address Line | 5655 N HIGH ST STE 4
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City | WORTHINGTON
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State | OH
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Zip | 43085-3948
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Country | US
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Telephone | 440-558-8588
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Fax |
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Provider Business Mailing Address
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Address Line | 4142 DOMNALL DR
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City | DUBLIN
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State | OH
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Zip | 43016-7771
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Country | US
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Telephone | 440-558-8588
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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