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General NPI Number Information
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NPI Number | 1386112233
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Entity Type | Individual
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Provider Name | CHARVIBEN PATEL
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Gender | Female
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Dates
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Enumeration Date | 11/08/2018
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Last Update Date | 11/12/2018
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Provider Practice Location Address
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Address Line | 118 MEDICAL DR
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City | CARMEL
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State | IN
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Zip | 46032-3323
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Country | US
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Telephone | 614-648-7099
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Fax |
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Provider Business Mailing Address
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Address Line | 508 N BARRON ST
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City | EATON
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State | OH
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Zip | 45320-1700
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 06005714A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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