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General NPI Number Information
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NPI Number | 1235737248
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Entity Type | Organization
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Legal Business Name | ALPA PATEL MD PLLC
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Dates
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Enumeration Date | 10/12/2020
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Last Update Date | 10/12/2020
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Provider Practice Location Address
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Address Line | 3020 HAMAKER CT STE B106
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City | FAIRFAX
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State | VA
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Zip | 22031-2236
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Country | US
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Telephone | 410-852-5849
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Fax | 321-273-8997
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Provider Business Mailing Address
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Address Line | 19450 DEERFIELD AVE STE 280
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City | LEESBURG
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State | VA
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Zip | 20176-6821
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Country | US
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Telephone | 410-852-5849
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Fax | 321-273-8997
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Authorized Official
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Title or Position | PHYSICIAN / OWNER
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Name | ALPA PATEL
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Credential | MD
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Telephone | 410-852-5849
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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 |
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License Number State |
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