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General NPI Number Information
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NPI Number | 1144841107
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Entity Type | Individual
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Provider Name | ATIT SHARAD PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 04/30/2020
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 46 BARRA RD STE 201202
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City | BIDDEFORD
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State | ME
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Zip | 04005-9459
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Country | US
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Telephone | 207-282-3349
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Fax | 207-294-3541
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Provider Business Mailing Address
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Address Line | 46 BARRA RD STE 201202
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City | BIDDEFORD
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State | ME
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Zip | 04005-9459
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Country | US
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Telephone | 207-282-3349
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Fax | 207-294-3541
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 325017
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD29138
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License Number State | ME
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