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General NPI Number Information
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NPI Number | 1093987539
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Entity Type | Organization
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Legal Business Name | NORTH VALLEY G.I. CONSULTANTS
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 09/19/2013
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Provider Practice Location Address
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Address Line | 1156 SWALLOW LN
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City | SIMI VALLEY
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State | CA
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Zip | 93065-3154
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Country | US
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Telephone | 805-526-6016
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Fax | 805-791-3992
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Provider Business Mailing Address
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Address Line | 1156 SWALLOW LN
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City | SIMI VALLEY
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State | CA
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Zip | 93065-3154
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Country | US
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Telephone | 805-526-6016
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Fax | 805-791-3992
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MAHENDRA N. PATEL
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Credential | M.D.
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Telephone | 805-526-6016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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