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General NPI Number Information
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NPI Number | 1386748432
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Entity Type | Organization
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Legal Business Name | SHASHIKANT AND KOKILA PATEL MD SC
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 09/20/2010
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Provider Practice Location Address
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Address Line | 434 E NORTHWEST HIGHWAY
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City | PALATINE
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State | IL
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Zip | 60074
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Country | US
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Telephone | 847-358-5624
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Fax | 847-358-5624
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Provider Business Mailing Address
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Address Line | 14 PENTWATER DRIVE
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City | SOUTH BARRINGTON
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State | IL
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Zip | 60010
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Country | US
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Telephone | 847-428-3262
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Fax | 866-591-1665
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SHASHIKANT H PATEL
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Credential | MD
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Telephone | 847-428-3262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036050325
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036058117
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License Number State | IL
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