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General NPI Number Information
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NPI Number | 1407004708
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Entity Type | Individual
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Provider Name | PAVANKUMAR PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 08/29/2008
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 5200 BABCOCK ST NE STE 106A
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City | PALM BAY
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State | FL
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Zip | 32905-4639
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Country | US
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Telephone | 321-373-7700
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Fax | 321-256-5512
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Provider Business Mailing Address
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Address Line | PO BOX 361095
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City | MELBOURNE
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State | FL
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Zip | 32936-1095
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Country | US
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Telephone | 321-253-2900
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Fax | 321-435-0100
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD449832
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01069508A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | ME166782
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD449832
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License Number State | PA
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