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NPI 1376757559

NPI 1376757559 : PARAG P PATEL M.D. : ROCHESTER, NY

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General NPI Number Information
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    NPI Number           |    1376757559
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    Entity Type          |    Individual 
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    Provider Name        |    PARAG P PATEL M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/09/2007
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    Last Update Date     |    05/15/2023
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Provider Practice Location Address
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    Address Line         |    140 CANAL VIEW BLVD SUITE 102
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    City                 |    ROCHESTER
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    State                |    NY
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    Zip                  |    14623-2808
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    Country              |    US
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    Telephone            |    585-338-2700
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    Fax                  |    585-242-9663
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Provider Business Mailing Address
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    Address Line         |    140 CANAL VIEW BLVD SUITE 102
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    City                 |    ROCHESTER
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    State                |    NY
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    Zip                  |    14623-2808
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    Country              |    US
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    Telephone            |    585-338-2700
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    Fax                  |    585-242-9663
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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        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    258072
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    207RC0001X
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    Taxonomy Name        |    Clinical Cardiac Electrophysiology Physician
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    License Number       |    258072
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    License Number State |    NY
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