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General NPI Number Information
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NPI Number | 1104817147
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Entity Type | Individual
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Provider Name | RENUKA NARAIN PATEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 18837 BROOKHURST ST STE 110
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-7301
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Country | US
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Telephone | 314-246-0394
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Fax |
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Provider Business Mailing Address
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Address Line | 1916 W BEVERLY DR
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City | ORANGE
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State | CA
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Zip | 92868-2021
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Country | US
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Telephone | 314-775-3697
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C181973
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License Number State | CA
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