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NPI 1306106455

NPI 1306106455 : AMI V PATEL MD : FISHERS, IN

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General NPI Number Information
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    NPI Number           |    1306106455
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    Entity Type          |    Individual 
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    Provider Name        |    AMI V PATEL MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/23/2012
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    Last Update Date     |    03/15/2025
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Provider Practice Location Address
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    Address Line         |    9894 E 121ST ST 
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    City                 |    FISHERS
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    State                |    IN
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    Zip                  |    46037-4154
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    Country              |    US
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    Telephone            |    317-621-6060
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    250 N SHADELAND AVE 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46219-4959
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    005450
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    01078745A
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    License Number State |    IN
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Taxonomy #3
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    Taxonomy Code        |    207RH0002X
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    Taxonomy Name        |    Hospice and Palliative Medicine (Internal Medicine) Physician
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    License Number       |    2016-02019
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    License Number State |    NC
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Taxonomy #4
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    Taxonomy Code        |    207QH0002X
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    Taxonomy Name        |    Hospice and Palliative Medicine (Family Medicine) Physician
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    License Number       |    01078745A
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    License Number State |    IN
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