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General NPI Number Information
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NPI Number | 1053331249
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Entity Type | Organization
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Legal Business Name | PATEL MEDICAL ASSOCIATES LLC
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | 2409 BROWNSVILLE ROAD
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City | PITTSBURGH
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State | PA
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Zip | 15210-4503
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Country | US
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Telephone | 412-886-1628
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Fax | 412-886-1643
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Provider Business Mailing Address
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Address Line | 2409 BROWNSVILLE ROAD
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City | PITTSBURGH
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State | PA
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Zip | 15210-4503
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Country | US
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Telephone | 412-886-1628
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Fax | 412-886-1643
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. KAUSHIK P PATEL
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Credential | M.D.
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Telephone | 412-886-1628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD071045L
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License Number State | PA
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