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General NPI Number Information
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NPI Number | 1245323195
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Entity Type | Organization
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Legal Business Name | CENTRAL BUSINESS CORPORATION
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 660 MIDDLESEX ST UNIT # 7
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City | LOWELL
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State | MA
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Zip | 01851-1432
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Country | US
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Telephone | 978-454-9703
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Fax | 978-937-7978
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Provider Business Mailing Address
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Address Line | 660 MIDDLESEX ST UNIT # 7
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City | LOWELL
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State | MA
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Zip | 01851-1432
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Country | US
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Telephone | 978-454-9703
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Fax | 978-937-7978
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ASHWINKUMAR ISHWARBHAI PATEL
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Credential | MD
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Telephone | 978-454-9703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 40693
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License Number State | MA
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