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General NPI Number Information
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NPI Number | 1417359043
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Entity Type | Individual
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Provider Name | AJAYKUMAR PATEL
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Gender | Male
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Dates
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Enumeration Date | 09/26/2014
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 18502 W BELLFORT ST STE 118
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City | RICHMOND
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State | TX
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Zip | 77407-9003
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Country | US
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Telephone | 248-403-1730
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Fax |
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Provider Business Mailing Address
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Address Line | 18502 W BELLFORT ST STE 118
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City | RICHMOND
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State | TX
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Zip | 77407-9003
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Country | US
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Telephone | 248-403-1730
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501016850
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1370987
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License Number State | TX
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