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General NPI Number Information
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NPI Number | 1275516635
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Entity Type | Individual
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Provider Name | MILAN ALPESH PATEL P.A.
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Gender | Female
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 8954 HOSPITAL DR
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-2272
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Country | US
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Telephone | 770-920-6413
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Fax | 678-838-2532
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Provider Business Mailing Address
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Address Line | PO BOX 1950
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City | DOUGLASVILLE
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State | GA
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Zip | 30133-1950
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Country | US
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Telephone | 706-660-8505
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Fax | 706-660-9390
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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 | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | 002573
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License Number State | GA
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