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General NPI Number Information
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NPI Number | 1093614505
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Entity Type | Organization
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Legal Business Name | PRESCIENCE MEDICAL GROUP PA
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 2508 SHALIMAR DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80915-1031
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Country | US
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Telephone | 205-552-2060
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Fax |
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Provider Business Mailing Address
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Address Line | 2810 N CHURCH ST STE 89028
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City | WILMINGTON
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State | DE
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Zip | 19802-4447
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPERATIONS ADMINISTRATOR
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Name | MISS ASHNA JATEEN PATEL
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Credential |
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Telephone | 415-753-4777
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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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