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General NPI Number Information
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NPI Number | 1457527475
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Entity Type | Organization
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Legal Business Name | PRAVINCHANDRA P. PATEL, MD P.C.
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Dates
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Enumeration Date | 04/30/2008
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Last Update Date | 03/16/2010
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Provider Practice Location Address
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Address Line | 423 CENTRAL AVE
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City | COLDWATER
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State | MS
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Zip | 38618-3915
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Country | US
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Telephone | 662-622-7011
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Fax | 662-622-0257
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Provider Business Mailing Address
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Address Line | PO BOX 1060
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City | COLDWATER
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State | MS
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Zip | 38618-1060
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Country | US
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Telephone | 662-622-7011
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Fax | 662-622-0257
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Authorized Official
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Title or Position | DR.
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Name | DR. PRAVINCHANDRA PATEL
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Credential | MD
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Telephone | 662-622-7011
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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 | MS 07838
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License Number State | MS
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