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General NPI Number Information
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NPI Number | 1376332460
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Entity Type | Individual
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Provider Name | JEET JANAK PATEL M.B.B.S.
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Gender | Male
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 2017 S JEFFERSON ST PSYCHIATRY RESIDENCY 1ST FLOOR
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City | ROANOKE
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State | VA
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Zip | 24014
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Country | US
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Telephone | 540-266-6372
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Fax |
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Provider Business Mailing Address
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Address Line | 2017 S JEFFERSON ST PSYCHIATRY RESIDENCY 1ST FLOOR
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City | ROANOKE
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State | VA
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Zip | 24014
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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 | 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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