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General NPI Number Information
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NPI Number | 1114243854
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Entity Type | Individual
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Provider Name | KINJAL PATEL
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Gender | Female
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 06/03/2019
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Provider Practice Location Address
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Address Line | 2217 S SHORE CTR # 250
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City | ALAMEDA
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State | CA
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Zip | 94501-8073
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Country | US
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Telephone | 510-323-4410
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Fax | 510-694-0776
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Provider Business Mailing Address
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Address Line | 2217 S SHORE CTR # 250
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City | ALAMEDA
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State | CA
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Zip | 94501-8073
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Country | US
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Telephone | 510-323-4410
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Fax | 510-694-0776
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 255133
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 139955
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License Number State | CA
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