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General NPI Number Information
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NPI Number | 1205127172
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Entity Type | Individual
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Provider Name | VISHAL R PATEL MD MBA
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Gender | Male
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Dates
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Enumeration Date | 04/27/2011
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 2300 PENNSYLVANIA AVE STE 4C
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City | WILMINGTON
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State | DE
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Zip | 19806-1338
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Country | US
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Telephone | 302-440-4275
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Fax |
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Provider Business Mailing Address
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Address Line | 220 WELDIN RIDGE RD
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City | WILMINGTON
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State | DE
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Zip | 19803-3974
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Country | US
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Telephone | 302-440-4275
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Fax | 302-623-0275
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0079030
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D79030
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | C1-0010457
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C1-0010457
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License Number State | DE
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