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General NPI Number Information
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NPI Number | 1144293036
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Entity Type | Individual
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Provider Name | SANJIV P PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 12/03/2020
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Provider Practice Location Address
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Address Line | 2960 MACK RD STE 200
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City | FAIRFIELD
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State | OH
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Zip | 45014-5300
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Country | US
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Telephone | 513-774-2870
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Fax | 513-774-2633
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Provider Business Mailing Address
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Address Line | 2960 MACK RD STE 200
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City | FAIRFIELD
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State | OH
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Zip | 45014-5300
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Country | US
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Telephone | 513-774-2870
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Fax | 513-774-2727
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 35.073242
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 35073242
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 35.073242
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License Number State | OH
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