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General NPI Number Information
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NPI Number | 1093438921
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Entity Type | Individual
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Provider Name | PARITA A PATEL PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 17 MAIN ST STE 304
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City | ROBBINSVILLE
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State | NJ
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Zip | 08691-1438
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Country | US
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Telephone | 609-415-3376
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Fax | 609-415-3377
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Provider Business Mailing Address
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Address Line | 301 NORTHUMBERLAND WAY
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City | MONMOUTH JUNCTION
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State | NJ
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Zip | 08852-2348
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Country | US
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Telephone | 848-391-8653
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00725600
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License Number State | NJ
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