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General NPI Number Information
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NPI Number | 1124169552
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Entity Type | Individual
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Provider Name | VIRAL PATEL DPT
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Gender | Male
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 01/12/2010
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Provider Practice Location Address
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Address Line | 100 RICE MINE ROAD LOOP SUITE 102
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City | TUSCALOOSA
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State | AL
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Zip | 35406-2425
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Country | US
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Telephone | 205-342-2610
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Fax | 205-342-2611
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Provider Business Mailing Address
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Address Line | 100 RICE MINE ROAD LOOP SUITE 102
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City | TUSCALOOSA
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State | AL
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Zip | 35406-2425
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Country | US
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Telephone | 205-342-2610
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Fax | 205-342-2611
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | QA01233800
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License Number State | NJ
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