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General NPI Number Information
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NPI Number | 1285218289
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Entity Type | Individual
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Provider Name | RICKY PATIL MD
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Gender | Male
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Dates
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Enumeration Date | 05/06/2021
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Last Update Date | 05/06/2021
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Provider Practice Location Address
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Address Line | 150 55TH ST, BROOKLYN, NY 11220
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City | BROOKLYN
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State | NY
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Zip | 11220
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Country | US
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Telephone | 732-609-7978
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Fax |
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Provider Business Mailing Address
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Address Line | 57 PEBBLE CREEK RD
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City | DAYTON
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State | NJ
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Zip | 08810-1618
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Country | US
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Telephone | 732-609-7978
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 208600000X
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License Number State | NY
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