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General NPI Number Information
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NPI Number | 1114082500
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Entity Type | Organization
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Legal Business Name | BABUBHAI I PATEL PHYSICIAN PC
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2015 AMSTERDAM AVE
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City | NEW YORK
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State | NY
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Zip | 10032-5013
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Country | US
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Telephone | 212-781-2560
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Fax |
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Provider Business Mailing Address
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Address Line | 430 ROEDEL PL
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City | PARAMUS
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State | NJ
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Zip | 07652-4120
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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 | SOLE PROPRIETER
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Name | BABUBHAI PATEL
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Credential |
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Telephone | 212-781-2560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 160703
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License Number State | NY
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