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General NPI Number Information
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NPI Number | 1235360942
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Entity Type | Individual
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Provider Name | ANANDKUMAR RANJITBHAI PATEL D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 07/29/2009
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 550 SUMMIT AVE
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City | JERSEY CITY
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State | NJ
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Zip | 07306
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Country | US
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Telephone | 201-721-6827
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1158
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City | SOUTH PLAINFIELD
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State | NJ
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Zip | 07080-8158
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Country | US
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Telephone | 646-234-0060
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 25MD00301500
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License Number State | NJ
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