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General NPI Number Information
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NPI Number | 1184251340
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Entity Type | Individual
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Provider Name | SEJAL PATEL MD, MS
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Gender | Female
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 1 PARK AVE FL 7
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City | NEW YORK
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State | NY
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Zip | 10016-5818
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Country | US
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Telephone | 646-754-5041
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Fax |
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Provider Business Mailing Address
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Address Line | 15634 HAYDEN LAKE PL
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City | SAN DIEGO
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State | CA
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Zip | 92127-5102
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Country | US
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Telephone | 858-204-5433
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 324465
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 1184251340
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License Number State | CA
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