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General NPI Number Information
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NPI Number | 1063049351
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Entity Type | Organization
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Legal Business Name | NPB MEDICAL GROUP, P.C.
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Dates
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Enumeration Date | 03/25/2020
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Last Update Date | 09/20/2021
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Provider Practice Location Address
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Address Line | 2260 UNIVERSITY DR
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-3319
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Country | US
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Telephone | 949-220-1702
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Fax | 949-220-1902
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Provider Business Mailing Address
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Address Line | 2260 UNIVERSITY DR
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-3319
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Country | US
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Telephone | 949-220-1702
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Fax | 949-220-1902
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Authorized Official
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Title or Position | CEO
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Name | DR. SANJAY PATIL
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Credential | M.D.
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Telephone | 949-220-1702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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