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General NPI Number Information
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NPI Number | 1295335289
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Entity Type | Individual
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Provider Name | IPSA PATEL
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Gender | Female
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Dates
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Enumeration Date | 10/28/2020
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 30 W MCCREIGHT AVE STE 211
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City | SPRINGFIELD
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State | OH
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Zip | 45504-1853
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Country | US
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Telephone | 937-325-3696
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Fax | 937-325-3713
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Provider Business Mailing Address
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Address Line | 3143 ELORA LN
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City | FAIRFIELD TOWNSHIP
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State | OH
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Zip | 45011-0532
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2019071408
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 364SA2100X
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Taxonomy Name | Acute Care Clinical Nurse Specialist
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License Number | APRN.CNP.0027265
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN.CNP.0027265
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License Number State | OH
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