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General NPI Number Information
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NPI Number | 1376971986
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Entity Type | Organization
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Legal Business Name | PURVI RASHMIKANT PATEL MD A MEDICAL CORPORATION
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Dates
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Enumeration Date | 10/16/2013
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Last Update Date | 10/16/2013
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Provider Practice Location Address
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Address Line | 928 N SAN FERNANDO BLVD STE J237
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City | BURBANK
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State | CA
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Zip | 91504-4350
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Country | US
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Telephone | 818-339-2243
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Fax | 818-569-3060
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Provider Business Mailing Address
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Address Line | 928 N SAN FERNANDO BLVD STE J237
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City | BURBANK
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State | CA
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Zip | 91504-4350
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Country | US
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Telephone | 818-339-2243
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Fax | 818-569-3060
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Authorized Official
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Title or Position | PRESIDENT / CEP
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Name | PURVI R PATEL
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Credential | M.D.
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Telephone | 818-339-2243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A82356
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License Number State | CA
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