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NPI 1174767032

NPI 1174767032 : NEAL RAMESH PATEL M.D. : CANTON, GA

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General NPI Number Information
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    NPI Number           |    1174767032
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    Entity Type          |    Individual 
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    Provider Name        |    NEAL RAMESH PATEL M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/22/2009
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    Last Update Date     |    12/03/2025
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Provider Practice Location Address
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    Address Line         |    2020 CUMMING HWY STE 102 
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    City                 |    CANTON
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    State                |    GA
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    Zip                  |    30115-8071
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    Country              |    US
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    Telephone            |    678-593-1295
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    Fax                  |    678-593-1294
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Provider Business Mailing Address
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    Address Line         |    2020 CUMMING HWY STE 102 
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    City                 |    CANTON
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    State                |    GA
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    Zip                  |    30115-8071
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    Country              |    US
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    Telephone            |    678-593-1295
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    Fax                  |    678-593-1294
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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        |    207RG0100X
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    Taxonomy Name        |    Gastroenterology Physician
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    License Number       |    67428
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    207RG0100X
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    Taxonomy Name        |    Gastroenterology Physician
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    License Number       |    036144817
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    License Number State |    IL
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