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General NPI Number Information
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NPI Number | 1275598765
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Entity Type | Individual
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Provider Name | JYOTINKUMAR K PATEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 30281 GOLDEN LANTERN
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-5979
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Country | US
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Telephone | 949-495-7144
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Fax | 949-495-0270
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Provider Business Mailing Address
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Address Line | PO BOX 35380
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City | LAS VEGAS
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State | NV
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Zip | 89133-5380
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A43752
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A43752
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License Number State | CA
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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 | A43752
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License Number State | CA
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