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General NPI Number Information
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NPI Number | 1275115321
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Entity Type | Individual
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Provider Name | ANISH PATEL
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Gender | Male
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Dates
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Enumeration Date | 04/27/2021
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 3003 ENGLISH CREEK AVE STE C5
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City | EGG HARBOR TOWNSHIP
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State | NJ
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Zip | 08234-4818
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Country | US
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Telephone | 609-272-1450
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Fax |
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Provider Business Mailing Address
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Address Line | 8 BAINBRIDGE CT
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City | SHAMONG
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State | NJ
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Zip | 08088-8680
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Country | US
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Telephone | 804-200-9967
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 25MD00384100
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License Number State | NJ
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