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General NPI Number Information
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NPI Number | 1275782575
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Entity Type | Organization
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Legal Business Name | SHIRISH C PATEL, M.D., INC
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Dates
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Enumeration Date | 09/11/2008
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Last Update Date | 09/11/2008
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Provider Practice Location Address
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Address Line | 1027 E MAIN ST
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City | ALHAMBRA
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State | CA
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Zip | 91801-4154
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Country | US
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Telephone | 626-570-8889
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Fax | 626-570-0036
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Provider Business Mailing Address
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Address Line | 1027 E MAIN ST
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City | ALHAMBRA
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State | CA
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Zip | 91801-4154
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Country | US
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Telephone | 626-570-8889
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MS. RACHEL V ALARCON
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Credential |
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Telephone | 626-570-8889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A30379
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License Number State | CA
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