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General NPI Number Information
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NPI Number | 1407816721
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Entity Type | Individual
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Provider Name | PANKAJ HARJI PATEL MD, FACS
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Gender | Male
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 1925 PACIFIC AVE
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City | ATLANTIC CITY
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State | NJ
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Zip | 08401-6713
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Country | US
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Telephone | 609-441-8023
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 WALNUT ST SUITE 500
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5563
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Country | US
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Telephone | 215-955-6760
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Fax | 215-923-8222
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD-059559-L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | MD-059559-L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 25MA06896800
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 25MA06896800
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License Number State | NJ
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