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General NPI Number Information
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NPI Number | 1194162602
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Entity Type | Individual
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Provider Name | FORAM R. PATEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/24/2013
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Last Update Date | 06/25/2021
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Provider Practice Location Address
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Address Line | 64 FULTON ST RM 303
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City | NEW YORK
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State | NY
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Zip | 10038-2756
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Country | US
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Telephone | 718-864-1966
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Fax | 201-595-0931
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Provider Business Mailing Address
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Address Line | 19 SAINT PAULS AVE APT 3
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City | JERSEY CITY
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State | NJ
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Zip | 07306-1644
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Country | US
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Telephone | 718-864-1966
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Fax | 201-595-0931
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 036033
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License Number State | NY
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