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General NPI Number Information
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NPI Number | 1154833937
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Entity Type | Individual
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Provider Name | KIRTI PATEL NP
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Gender | Female
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Dates
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Enumeration Date | 11/01/2017
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Last Update Date | 01/15/2019
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Provider Practice Location Address
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Address Line | 2107 HILLHURST AVE APT 408
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City | LOS ANGELES
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State | CA
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Zip | 90027-2003
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Country | US
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Telephone | 323-664-0186
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Fax |
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Provider Business Mailing Address
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Address Line | 1411 N HIGHLAND AVE APT 408
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City | LOS ANGELES
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State | CA
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Zip | 90028-9407
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95007091
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License Number State | CA
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