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General NPI Number Information
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NPI Number | 1316972821
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Entity Type | Organization
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Legal Business Name | AMITA R. PATEL, M.D., INC.
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 04/18/2008
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Provider Practice Location Address
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Address Line | 627 S EDWIN C MOSES BLVD SUITE K 5TH FLOOR
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City | DAYTON
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State | OH
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Zip | 45408-1461
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Country | US
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Telephone | 937-424-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 627 S EDWIN C MOSES BLVD SUITE K 5TH FLOOR
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City | DAYTON
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State | OH
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Zip | 45408-1461
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Country | US
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Telephone | 937-424-1000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMITA R PATEL
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Credential | M.D.
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Telephone | 937-424-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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