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General NPI Number Information
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NPI Number | 1326340555
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Entity Type | Individual
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Provider Name | KEYUR PATEL D.O.
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Gender | Male
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Dates
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Enumeration Date | 11/19/2010
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Last Update Date | 12/19/2022
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Provider Practice Location Address
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Address Line | 2565 N TOLEDO BLADE BLVD UNIT 3
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City | NORTH PORT
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State | FL
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Zip | 34289-9306
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Country | US
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Telephone | 215-307-2355
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Fax |
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Provider Business Mailing Address
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Address Line | 2565 N TOLEDO BLADE BLVD UNIT 3
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City | NORTH PORT
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State | FL
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Zip | 34289-9306
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Country | US
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Telephone | 215-307-2355
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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 | 207PE0005X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
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License Number | OS015400
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License Number State | PA
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