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General NPI Number Information
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NPI Number | 1346376894
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Entity Type | Individual
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Provider Name | SONAL RAMESH PATEL MD
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Gender | Female
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 12/22/2023
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Provider Practice Location Address
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Address Line | 960 E GREEN ST STE 108
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City | PASADENA
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State | CA
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Zip | 91106-2401
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Country | US
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Telephone | 626-793-6680
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Fax | 888-475-7784
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Provider Business Mailing Address
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Address Line | 3236 EMERALD ISLE DR
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City | GLENDALE
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State | CA
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Zip | 91206-1110
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Country | US
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Telephone |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A80378
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | A80378
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License Number State | CA
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