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General NPI Number Information
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NPI Number | 1427190891
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Entity Type | Individual
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Provider Name | PINAL PATEL PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 200 ROWAN BLVD
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City | GLASSBORO
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State | NJ
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Zip | 08028-2260
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Country | US
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Telephone | 856-582-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 601 N MAIN ST
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City | GLASSBORO
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State | NJ
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Zip | 08028-1637
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Country | US
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Telephone | 844-542-2273
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Fax | 856-881-6983
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00159100
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License Number State | NJ
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