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General NPI Number Information
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NPI Number | 1235862608
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Entity Type | Individual
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Provider Name | JIGNASABEN ASHISH PATEL FNP
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Gender | Female
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Dates
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Enumeration Date | 07/05/2022
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 808 HUNTER AVE STE 4
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City | SIKESTON
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State | MO
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Zip | 63801-2253
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Country | US
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Telephone | 573-475-9111
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Fax |
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Provider Business Mailing Address
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Address Line | 903 S KINGSHIGHWAY ST
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City | SIKESTON
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State | MO
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Zip | 63801-4415
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Country | US
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Telephone | 573-686-4151
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2022024352
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License Number State | MO
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