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General NPI Number Information
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NPI Number | 1164452322
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Entity Type | Organization
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Legal Business Name | DR DINETH KANTILAL PATEL MD A CALIFORNIA MEDICAL COPRPORATION
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 9900 TALBERT AVE SUITE 203
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708
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Country | US
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Telephone | 714-378-7010
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Fax | 714-378-5504
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Provider Business Mailing Address
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Address Line | 9900 TALBERT AVE SUITE 203
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708
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Country | US
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Telephone | 714-378-7010
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Fax | 714-378-5504
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Authorized Official
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Title or Position | PRESIDENT
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Name | DINESH KANTILAL PATEL
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Credential | M.D.
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Telephone | 714-378-7010
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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 | A67079
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License Number State | CA
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