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General NPI Number Information
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NPI Number | 1265145098
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Entity Type | Individual
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Provider Name | MAHESH PATEL D.C.
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Gender | Male
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Dates
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Enumeration Date | 12/26/2022
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 12 NJ-17 SUITE 118
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City | PARAMUS
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State | NJ
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Zip | 07652-8278
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Country | US
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Telephone | 201-535-4145
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Fax |
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Provider Business Mailing Address
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Address Line | 1225 STUYVESANT AVE
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City | UNION
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State | NJ
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Zip | 07083-3837
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Country | US
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Telephone | 908-481-5100
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Fax | 908-258-0168
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC00795700
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License Number State | NJ
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