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General NPI Number Information
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NPI Number | 1306632708
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Entity Type | Organization
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Legal Business Name | VALLEY MEDICAL LTC INC
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 6611 CLYO RD STE E
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City | CENTERVILLE
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State | OH
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Zip | 45459-2785
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Country | US
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Telephone | 937-208-8282
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Fax | 937-208-8275
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Provider Business Mailing Address
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Address Line | 6611 CLYO RD STE E
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City | CENTERVILLE
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State | OH
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Zip | 45459-2785
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Country | US
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Telephone | 937-208-8282
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Fax | 937-208-8275
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MEENAKSHI PATEL
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Credential | MD
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Telephone | 937-208-8282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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