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General NPI Number Information
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NPI Number | 1336536994
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Entity Type | Individual
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Provider Name | SANJAY PATEL D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/22/2015
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 4835 E CACTUS RD STE 130
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-3545
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Country | US
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Telephone | 623-526-5359
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Fax |
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Provider Business Mailing Address
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Address Line | 3438 E KERRY LN
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City | PHOENIX
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State | AZ
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Zip | 85050-6309
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Country | US
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Telephone | 859-420-8621
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 04272
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 008976
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License Number State | AZ
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