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General NPI Number Information
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NPI Number | 1134294853
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Entity Type | Individual
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Provider Name | AMRITBHAI P PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 03/23/2021
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Provider Practice Location Address
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Address Line | 2800 N SHERIDAN ROAD
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City | CHICAGO
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State | IL
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Zip | 60657-6117
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Country | US
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Telephone | 630-952-1412
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Fax | 773-525-4022
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Provider Business Mailing Address
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Address Line | 2625 IROQUOIS ROAD
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City | WILMETTE
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State | IL
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Zip | 60091-1232
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Country | US
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Telephone | 630-952-1412
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Fax | 773-525-4022
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 036058256
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License Number State | IL
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