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General NPI Number Information
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NPI Number | 1386922821
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Entity Type | Organization
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Legal Business Name | M D PATEL
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Dates
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Enumeration Date | 08/02/2011
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Last Update Date | 08/02/2011
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Provider Practice Location Address
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Address Line | 475 N FARNSWORTH AVE
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City | AURORA
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State | IL
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Zip | 60505-3004
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Country | US
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Telephone | 630-898-0022
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Fax |
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Provider Business Mailing Address
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Address Line | 3331 WHITE EAGLE DR
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City | NAPERVILLE
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State | IL
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Zip | 60564-4605
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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 | OWNER
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Name | MUKESHCHANDRA PATEL
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Credential | M.D.
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Telephone | 630-898-0022
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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 |
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License Number State |
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