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General NPI Number Information
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NPI Number | 1356107833
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Entity Type | Individual
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Provider Name | LAVINA PATEL
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Gender | Female
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Dates
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Enumeration Date | 02/22/2024
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 2011 DUKE ST
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City | FALLSTON
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State | MD
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Zip | 21047-2943
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Country | US
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Telephone | 443-854-9468
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Fax |
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Provider Business Mailing Address
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Address Line | 2011 DUKE ST
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City | FALLSTON
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State | MD
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Zip | 21047-2943
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R228553
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License Number State | MD
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