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General NPI Number Information
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NPI Number | 1396286662
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Entity Type | Individual
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Provider Name | AMI PIYUSH PATEL
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Gender | Female
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Dates
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Enumeration Date | 03/20/2017
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 1851 N. GEORGE MASON DRIVE #3A
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City | ARLINGTON
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State | VA
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Zip | 22207
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Country | US
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Telephone | 703-717-4792
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Fax | 703-717-4793
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Provider Business Mailing Address
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Address Line | 1851 N GEORGE MASON DR STE 3A
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City | ARLINGTON
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State | VA
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Zip | 22207-1953
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Country | US
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Telephone | 703-717-4792
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 0102208008
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License Number State | VA
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