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General NPI Number Information
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NPI Number | 1386748408
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Entity Type | Individual
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Provider Name | KAMAL J PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 4818 BLUFFTON PKWY
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City | BLUFFTON
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State | SC
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Zip | 29910-4602
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Country | US
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Telephone | 843-706-0600
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Fax | 843-706-0601
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Provider Business Mailing Address
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Address Line | 4810 BLUFFTON PKWY STE 101
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City | BLUFFTON
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State | SC
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Zip | 29910-4602
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Country | US
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Telephone | 843-353-0380
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Fax | 833-941-3738
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 29252
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License Number State | SC
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