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General NPI Number Information
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NPI Number | 1184864100
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Entity Type | Individual
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Provider Name | NIRAV A PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 03/03/2009
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Last Update Date | 04/24/2022
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Provider Practice Location Address
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Address Line | 24 HOSPITAL AVE
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City | DANBURY
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State | CT
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Zip | 06810-6099
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Country | US
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Telephone | 203-744-0421
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Fax |
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Provider Business Mailing Address
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Address Line | 888 JUNIPER ST NE APT 2919
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City | ATLANTA
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State | GA
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Zip | 30309-4839
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Country | US
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Telephone | 321-243-3965
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 72073
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 72073
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 70423
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License Number State | CT
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