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General NPI Number Information
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NPI Number | 1306172044
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Entity Type | Individual
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Provider Name | ADITI V PATEL PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/01/2009
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Last Update Date | 10/08/2020
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Provider Practice Location Address
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Address Line | 232 W OLD COUNTRY RD
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City | HICKSVILLE
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State | NY
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Zip | 11801-4011
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Country | US
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Telephone | 516-938-1550
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Fax |
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Provider Business Mailing Address
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Address Line | 2346 BERKSHIRE LANE
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-1448
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Country | US
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Telephone | 908-705-1856
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 25MP00224000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 013290-1
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License Number State | NY
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