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General NPI Number Information
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NPI Number | 1134910441
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Entity Type | Individual
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Provider Name | MITESHKUMAR PATEL PT
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Gender | Male
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 3855 INDIAN RIVER BLVD
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City | VERO BEACH
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State | FL
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Zip | 32960-4882
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Country | US
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Telephone | 772-770-3796
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Fax |
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Provider Business Mailing Address
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Address Line | 1477 40TH AVE
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City | VERO BEACH
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State | FL
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Zip | 32960-0718
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Country | US
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Telephone | 940-224-7563
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT31474
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License Number State | FL
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