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General NPI Number Information
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NPI Number | 1417301078
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Entity Type | Individual
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Provider Name | KRISHNA PATEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/20/2016
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 3360 SHELBY LN STE 1030
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City | EAST POINT
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State | GA
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Zip | 30344-5745
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Country | US
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Telephone | 943-230-1441
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Fax | 404-868-5691
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Provider Business Mailing Address
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Address Line | 1050 HOWELL MILL RD NW APT S161
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City | ATLANTA
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State | GA
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Zip | 30318-1676
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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 |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 83863
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A167501
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License Number State | CA
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