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General NPI Number Information
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NPI Number | 1134035173
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Entity Type | Individual
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Provider Name | HETAXI GIRISHBHAI PATEL
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Gender | Female
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 5656 S MARYLAND AVE
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City | CHICAGO
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State | IL
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Zip | 60637
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Country | US
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Telephone | 773-702-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 726 BRIAN AVE
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City | SCHAUMBURG
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State | IL
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Zip | 60194-2606
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Country | US
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Telephone | 847-770-6502
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | IL
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