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General NPI Number Information
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NPI Number | 1134448152
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Entity Type | Individual
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Provider Name | RIMA GUNVANTRAI PATEL PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/01/2010
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Last Update Date | 03/16/2022
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Provider Practice Location Address
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Address Line | 1818 E SKY HARBOR CIR N STE 150
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City | PHOENIX
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State | AZ
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Zip | 85034-3410
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Country | US
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Telephone | 602-256-5950
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Fax |
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Provider Business Mailing Address
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Address Line | 17940 N MILITARY TRAIL, UNIT 300
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City | BOCA RATON
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State | FL
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Zip | 33496
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Country | US
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Telephone |
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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 | 25MP00236700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 11076
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | LT20089
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License Number State | ME
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9111002
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA405
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License Number State | ME
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Taxonomy #6
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | EL04722
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License Number State | NH
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Taxonomy #7
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA-TF-0179
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License Number State | MA
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Taxonomy #8
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 54272
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License Number State | CA
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Taxonomy #9
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 25MP00236700
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License Number State | NJ
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Taxonomy #10
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 25MP00236700
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License Number State | NJ
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Taxonomy #11
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 4782
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License Number State | AZ
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