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General NPI Number Information
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NPI Number | 1194253252
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Entity Type | Organization
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Legal Business Name | VIPUL PATEL, PT PC
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Dates
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Enumeration Date | 06/01/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 46 DALEY ST
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-3604
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Country | US
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Telephone | 516-353-4327
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Fax |
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Provider Business Mailing Address
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Address Line | 46 DALEY ST
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-3604
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Country | US
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Telephone | 516-353-4327
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VIPUL PATEL
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Credential | PT
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Telephone | 516-353-4327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 017655-1
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License Number State | NY
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