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General NPI Number Information
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NPI Number | 1326439142
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Entity Type | Organization
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Legal Business Name | ASHWINKUMAR R PATEL
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Dates
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Enumeration Date | 02/16/2015
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Last Update Date | 02/16/2015
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Provider Practice Location Address
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Address Line | 1403 MEDICAL PLAZA DRIVE SUITE 106
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City | SANFORD
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State | FL
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Zip | 32771-1085
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Country | US
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Telephone | 407-328-1575
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Fax | 407-328-1577
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Provider Business Mailing Address
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Address Line | 1403 MEDICAL PLAZA DR SUITE 106
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City | SANFORD
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State | FL
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Zip | 32771-1000
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Country | US
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Telephone | 407-328-1575
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Fax | 407-328-1577
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Authorized Official
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Title or Position | OWNER
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Name | DR. ASHWINKUMAR R PATEL
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Credential | M.D.
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Telephone | 407-328-1575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0048259
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License Number State | FL
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