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General NPI Number Information
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NPI Number | 1285332692
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Entity Type | Individual
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Provider Name | NISHA V PATEL OT/L, CHT
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Gender | Female
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Dates
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Enumeration Date | 02/16/2023
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | UFHEALTH ORTHOPEADIC JTB KERNAN 5191 FIRST COAST TECH PARKWAY
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City | JACKSONVILLE
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State | FL
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Zip | 32224
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Country | US
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Telephone | 904-223-3321
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Fax |
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Provider Business Mailing Address
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Address Line | 4549 EMERSON ST STE 300
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City | JACKSONVILLE
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State | FL
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Zip | 32207-4961
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Country | US
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Telephone | 904-427-8900
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Fax | 904-427-8901
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | OT2662
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT2662
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License Number State | FL
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