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General NPI Number Information
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NPI Number | 1134238041
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Entity Type | Organization
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Legal Business Name | RAHUL A PATEL MD PA
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 10/28/2009
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Provider Practice Location Address
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Address Line | 12989 SOUTHERN BLVD STE 204
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-9211
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Country | US
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Telephone | 561-791-2500
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Fax | 561-791-2535
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Provider Business Mailing Address
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Address Line | 12989 SOUTHERN BLVD STE 204
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-9211
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Country | US
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Telephone | 561-791-2500
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Fax | 561-791-2535
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAHUL A PATEL
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Credential | M D
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Telephone | 561-791-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME79886
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License Number State | FL
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