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General NPI Number Information
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NPI Number | 1437364841
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Entity Type | Individual
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Provider Name | ANAND CHIMANLAL PATEL
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Gender | Male
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1307 FORD AVE
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City | WYANDOTTE
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State | MI
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Zip | 48192-3823
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Country | US
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Telephone | 734-282-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 250 E TAMI CIR APT F302
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City | WESTLAND
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State | MI
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Zip | 48186-9099
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Country | US
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Telephone | 734-844-0800
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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 | 5501011693
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License Number State | MI
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