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General NPI Number Information
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NPI Number | 1184082281
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Entity Type | Individual
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Provider Name | JIGNA PATEL O.D.
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Gender | Female
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Dates
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Enumeration Date | 02/03/2016
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Last Update Date | 06/15/2025
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Provider Practice Location Address
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Address Line | 6951 22ND AVE N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33710-3919
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Country | US
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Telephone | 727-347-1992
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Fax |
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Provider Business Mailing Address
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Address Line | 4735 OHIO AVE
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City | TAMPA
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State | FL
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Zip | 33616-1053
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Country | US
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Telephone | 941-730-0243
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3275
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5501
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License Number State | FL
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