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General NPI Number Information
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NPI Number | 1386078814
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Entity Type | Individual
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Provider Name | SHREYA N PATEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/03/2013
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 5385 CONROY RD STE 104
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City | ORLANDO
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State | FL
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Zip | 32811-3719
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Country | US
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Telephone | 407-777-8794
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Fax | 689-208-1222
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Provider Business Mailing Address
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Address Line | 5385 CONROY RD SUITE 100 &104
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City | ORLANDO
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State | FL
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Zip | 32811
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Country | US
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Telephone | 407-777-8794
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Fax | 689-208-1222
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | ME128383
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License Number State | FL
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