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General NPI Number Information
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NPI Number | 1205132735
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Entity Type | Individual
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Provider Name | NIRA K PATEL
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Gender | Female
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Dates
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Enumeration Date | 02/01/2011
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Last Update Date | 10/20/2014
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Provider Practice Location Address
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Address Line | 844 N THORNTON AVE
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City | ORLANDO
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State | FL
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Zip | 32803-4003
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Country | US
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Telephone | 407-398-6470
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Fax | 407-894-6872
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Provider Business Mailing Address
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Address Line | 86 W UNDERWOOD ST SUITE 202
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City | ORLANDO
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State | FL
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Zip | 32806-1110
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Country | US
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Telephone | 407-649-6876
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Fax | 407-872-0544
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | TRN16339
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License Number State | FL
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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 | ME120073
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License Number State | FL
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