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General NPI Number Information
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NPI Number | 1366915324
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Entity Type | Individual
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Provider Name | TRUSHA PATEL NP
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Gender | Female
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Dates
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Enumeration Date | 01/02/2019
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Last Update Date | 09/22/2021
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Provider Practice Location Address
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Address Line | 1 DAKOTA DR
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1135
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Country | US
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Telephone | 516-622-6020
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Fax | 516-622-6021
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Provider Business Mailing Address
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Address Line | 5 BRADFORD RD
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City | PLAINVIEW
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State | NY
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Zip | 11803-4001
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Country | US
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Telephone | 516-574-9030
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 343899-1
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License Number State | NY
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