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General NPI Number Information
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NPI Number | 1265548077
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Entity Type | Individual
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Provider Name | UMANG S PATEL M.D
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 01/29/2014
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Provider Practice Location Address
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Address Line | 7530 WOODWARD AVENUE STE A
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City | WOODRIDGE
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State | IL
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Zip | 60517-3100
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Country | US
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Telephone | 630-910-1177
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Fax | 630-910-4157
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Provider Business Mailing Address
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Address Line | 7530 S WOODWARD AVENUE SUITE #A
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City | WOODRIDGE
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State | IL
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Zip | 60517
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Country | US
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Telephone | 630-910-1177
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Fax | 630-910-4157
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036067855
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License Number State | IL
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