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General NPI Number Information
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NPI Number | 1255046983
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Entity Type | Individual
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Provider Name | PARESHKUMAR G PATEL SPECIALIST ASSISTANT
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Gender | Male
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Dates
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Enumeration Date | 01/17/2023
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 4805 MALLARD CMN
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City | FREMONT
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State | CA
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Zip | 94555-2829
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Country | US
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Telephone | 508-915-1418
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Fax |
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Provider Business Mailing Address
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Address Line | 4805 MALLARD CMN
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City | FREMONT
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State | CA
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Zip | 94555-2829
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Country | US
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Telephone | 508-915-1418
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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 | 246ZX2200X
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Taxonomy Name | Orthopedic Assistant
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License Number | 000256
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License Number State | NY
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