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General NPI Number Information
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NPI Number | 1154825289
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Entity Type | Individual
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Provider Name | SHAMMI A PATEL DO
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Gender | Male
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Dates
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Enumeration Date | 03/22/2018
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 310 N L ROGERS WELLS BLVD
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City | GLASGOW
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State | KY
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Zip | 42141-1300
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Country | US
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Telephone | 270-659-5990
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Fax | 270-659-5947
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Provider Business Mailing Address
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Address Line | 419 SW 15TH AVE
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City | OCALA
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State | FL
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Zip | 32608
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Country | US
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Telephone | 305-814-7246
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Fax | 352-517-8952
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | OS21002
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | OS21002
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 000000000
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License Number State |
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