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General NPI Number Information
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NPI Number | 1053863175
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Entity Type | Individual
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Provider Name | KINJALBEN ANKUR PATEL
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Gender | Female
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 1463 LIMESTONE RDG
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City | LANDISVILLE
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State | PA
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Zip | 17538-1539
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Country | US
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Telephone | 201-562-4631
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 HARRISBURG PIKE
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City | LANCASTER
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State | PA
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Zip | 17601-2603
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Country | US
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Telephone | 717-735-2606
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | J10003515
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT027435
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License Number State | PA
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