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General NPI Number Information
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NPI Number | 1144058686
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Entity Type | Individual
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Provider Name | KAJAL PATEL CAA
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Gender | Female
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Dates
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Enumeration Date | 07/25/2024
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 2201 45TH ST
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2047
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Country | US
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Telephone | 561-842-6141
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Fax |
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Provider Business Mailing Address
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Address Line | 613 HENMORE BROOK DR
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City | CARY
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State | NC
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Zip | 27519-7617
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Country | US
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Telephone | 919-475-7990
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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 | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | AA967
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License Number State | FL
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