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General NPI Number Information
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NPI Number | 1265792444
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Entity Type | Individual
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Provider Name | RAJENDRAKUMAR CHIMANLAL PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 05/22/2012
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Last Update Date | 05/20/2019
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Provider Practice Location Address
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Address Line | 31 W SOMERSET ST
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City | RARITAN
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State | NJ
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Zip | 08869-2057
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Country | US
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Telephone | 908-722-0035
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Fax | 908-722-6763
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Provider Business Mailing Address
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Address Line | 550 PEACHTREE ST NE
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City | ATLANTA
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State | GA
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Zip | 30308-2208
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Country | US
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Telephone | 404-686-4411
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 71611
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA10473500
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License Number State | NJ
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