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General NPI Number Information
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NPI Number | 1053267955
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Entity Type | Organization
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Legal Business Name | KEYUR PATEL DDS,PLLC
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Dates
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Enumeration Date | 03/05/2026
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 17820 SE 109TH AVE STE 111
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City | SUMMERFIELD
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State | FL
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Zip | 34491-8968
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Country | US
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Telephone | 352-245-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 7193 SOMERSWORTH DR
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City | ORLANDO
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State | FL
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Zip | 32835-6162
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Country | US
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Telephone | 352-245-5400
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | KEYURKUMAR R PATEL
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Credential | DDS
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Telephone | 678-633-9944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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