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General NPI Number Information
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NPI Number | 1326725292
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Entity Type | Individual
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Provider Name | MESHA PATEL OD
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Gender | Female
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Dates
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Enumeration Date | 06/30/2023
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 2126 MERRICK MALL
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City | MERRICK
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State | NY
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Zip | 11566-3626
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Country | US
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Telephone | 516-546-4923
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Fax | 516-546-4923
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Provider Business Mailing Address
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Address Line | 9110 214TH ST
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City | QUEENS VILLAGE
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State | NY
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Zip | 11428-1138
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Country | US
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Telephone | 516-469-7589
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV009819
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License Number State | NY
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