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General NPI Number Information
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NPI Number | 1376593657
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Entity Type | Individual
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Provider Name | GNYANDEV PATEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 3300 E SOUTH ST SUITE # 206
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City | LAKEWOOD
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State | CA
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Zip | 90805-4549
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Country | US
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Telephone | 562-232-2378
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Fax | 562-232-2379
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Provider Business Mailing Address
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Address Line | PO BOX 189
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City | BELLFLOWER
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State | CA
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Zip | 90707-0189
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Country | US
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Telephone | 562-232-2378
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Fax | 562-232-2379
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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 | 75839
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A618690
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License Number State | CA
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