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General NPI Number Information
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NPI Number | 1083693568
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Entity Type | Individual
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Provider Name | CHANDRAKANT B PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 01/12/2006
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Last Update Date | 05/10/2019
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Provider Practice Location Address
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Address Line | 4639 SUN N LAKE BLVD
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City | SEBRING
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State | FL
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Zip | 33872-2177
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Country | US
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Telephone | 863-471-1010
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Fax | 863-382-3398
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Provider Business Mailing Address
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Address Line | 4639 SUN N LAKE BLVD
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City | SEBRING
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State | FL
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Zip | 33872-2177
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Country | US
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Telephone | 863-471-1010
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Fax | 863-382-3398
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME0049560
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License Number State | FL
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