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General NPI Number Information
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NPI Number | 1245453521
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Entity Type | Organization
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Legal Business Name | NATU R. PATEL M.D.S.C.
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 12/10/2007
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Provider Practice Location Address
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Address Line | 3441 W NORTH AVE
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City | CHICAGO
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State | IL
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Zip | 60647-4841
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Country | US
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Telephone | 773-772-6418
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Fax |
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Provider Business Mailing Address
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Address Line | 3441 W NORTH AVE
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City | CHICAGO
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State | IL
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Zip | 60647-4841
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NATU R PATEL
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Credential | M.D.
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Telephone | 773-772-6418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State | IL
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