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General NPI Number Information
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NPI Number | 1164480794
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Entity Type | Individual
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Provider Name | TUSHAR RAMESCHANDRA PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | BUILDING NUMBER 2487, CARRINGTON RD.
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City | FT. BLISS
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State | TX
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Zip | 79906
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Country | US
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Telephone | 915-742-3014
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Fax | 915-742-2161
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Provider Business Mailing Address
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Address Line | 1131 EAGLE RIDGE DR
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City | EL PASO
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State | TX
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Zip | 79912-7476
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Country | US
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Telephone | 915-742-3014
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Fax | 915-742-2161
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101239181
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License Number State | VA
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