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General NPI Number Information
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NPI Number | 1144575762
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Entity Type | Organization
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Legal Business Name | KALPANA PATEL MD, PA
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Dates
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Enumeration Date | 07/19/2012
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Last Update Date | 07/19/2012
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Provider Practice Location Address
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Address Line | 8416 TIVOLI DR
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City | ORLANDO
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State | FL
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Zip | 32836-8758
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Country | US
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Telephone | 321-438-9499
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Fax |
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Provider Business Mailing Address
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Address Line | 8416 TIVOLI DR
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City | ORLANDO
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State | FL
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Zip | 32836-8758
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Country | US
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Telephone | 321-438-9499
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | DR. KALPANA VIKRAM PATEL
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Credential | M.D
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Telephone | 321-438-9499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME89678
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License Number State | FL
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