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General NPI Number Information
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NPI Number | 1053318956
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Entity Type | Organization
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Legal Business Name | GAJERA & PATEL PLLC
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 08/02/2018
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Provider Practice Location Address
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Address Line | 1717 HIGH ST SUITE 1A
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City | HOPKINSVILLE
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State | KY
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Zip | 42240
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Country | US
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Telephone | 270-885-0570
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Fax | 270-885-0573
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Provider Business Mailing Address
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Address Line | 1717 HIGH ST SUITE 1A
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City | HOPKINSVILLE
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State | KY
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Zip | 42240
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Country | US
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Telephone | 270-885-0570
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Fax | 270-885-0573
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAMESH V PATEL
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Credential | MD
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Telephone | 270-885-0570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 22180
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1073349
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 31906
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License Number State | KY
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