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General NPI Number Information
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NPI Number | 1124934716
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Entity Type | Individual
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Provider Name | MANSHI R PATEL PA
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Gender | Female
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Dates
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Enumeration Date | 08/21/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 13 NEPTUNE RD
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City | KISSIMMEE
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State | FL
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Zip | 34744-5272
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Country | US
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Telephone | 407-518-1074
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Fax |
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Provider Business Mailing Address
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Address Line | 8372 CANDLEWOOD COVE TRL
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City | JACKSONVILLE
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State | FL
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Zip | 32244-8900
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Country | US
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Telephone | 904-884-2643
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | FL
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