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General NPI Number Information
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NPI Number | 1275391161
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Entity Type | Individual
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Provider Name | RICK PATEL
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Gender | Male
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Dates
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Enumeration Date | 03/06/2024
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Last Update Date | 08/09/2025
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Provider Practice Location Address
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Address Line | 1 EXECUTIVE DR
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City | MONMOUTH JUNCTION
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State | NJ
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Zip | 08852-2446
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Country | US
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Telephone | 732-297-7575
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Fax |
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Provider Business Mailing Address
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Address Line | 16 VILLAGE RD
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City | KENDALL PARK
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State | NJ
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Zip | 08824-1545
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Country | US
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Telephone |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | ORT009940-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00727101
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00727100
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License Number State | NJ
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