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General NPI Number Information
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NPI Number | 1265881957
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Entity Type | Individual
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Provider Name | YASH M PATEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/03/2016
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Last Update Date | 05/31/2025
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Provider Practice Location Address
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Address Line | 55 FRUIT ST
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City | BOSTON
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State | MA
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Zip | 02114-2696
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Country | US
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Telephone | 617-726-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 10 EMERSON PL APT 17F
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City | BOSTON
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State | MA
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Zip | 02114-2230
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Country | US
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Telephone | 908-305-0154
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MT211664
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 1019407
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License Number State | MA
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