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General NPI Number Information
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NPI Number | 1437662095
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Entity Type | Individual
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Provider Name | ANKIT P PATEL DPT
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Gender | Male
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Dates
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Enumeration Date | 11/06/2017
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Last Update Date | 11/06/2017
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Provider Practice Location Address
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Address Line | 2316 W 23RD ST
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City | PANAMA CITY
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State | FL
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Zip | 32405-2373
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Country | US
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Telephone | 850-522-4770
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Fax |
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Provider Business Mailing Address
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Address Line | 1510 CLAY AVE APT B
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City | PANAMA CITY
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State | FL
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Zip | 32405-2652
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Country | US
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Telephone | 850-628-4314
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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 | 33135
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License Number State | FL
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