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General NPI Number Information
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NPI Number | 1417012766
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE & GERIATRIC CARE
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5714 SIGNAL HILL CT STE C
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City | MILFORD
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State | OH
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Zip | 45150-1459
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Country | US
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Telephone | 513-831-4811
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Fax | 513-831-2912
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Provider Business Mailing Address
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Address Line | PO BOX 54927
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City | CINCINNATI
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State | OH
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Zip | 45254-0927
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Country | US
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Telephone | 513-831-4811
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Fax | 513-831-2912
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Authorized Official
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Title or Position | OWNER
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Name | DR. KETAN K PATEL
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Credential | MD
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Telephone | 513-831-4811
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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 |
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License Number State |
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