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General NPI Number Information
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NPI Number | 1104984400
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Entity Type | Individual
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Provider Name | JAYKUMAR C PATEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 501 BATH RD SUITE 508
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City | BRISTOL
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State | PA
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Zip | 19007-3101
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Country | US
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Telephone | 215-785-9890
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Fax | 215-785-9987
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Provider Business Mailing Address
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Address Line | 9 BRIGHTON PL
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City | NEWTOWN
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State | PA
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Zip | 18940-1171
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Country | US
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Telephone | 215-785-9890
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Fax | 215-785-9987
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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 | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | MD031132E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | MD031132E
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number | MD031132E
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD031132E
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | MD031132E
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | MD031132E
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License Number State | PA
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