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General NPI Number Information
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NPI Number | 1275553315
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Entity Type | Individual
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Provider Name | MANISHA T. PATEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 30 BROAD ST 45TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10004-2304
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Country | US
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Telephone | 212-530-0630
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Fax | 415-252-7176
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Provider Business Mailing Address
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Address Line | 1 EMBARCADERO CTR STE 1900
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-3723
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Country | US
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Telephone | 415-658-6791
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 209897
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD072672L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 202102093
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA08161500
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 255583
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License Number State | NY
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