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General NPI Number Information
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NPI Number | 1467404772
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Entity Type | Individual
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Provider Name | SANJAY N PATEL DC
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Gender | Male
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 1802 E 10TH ST
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-6016
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Country | US
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Telephone | 812-288-2488
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Fax | 812-288-6603
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Provider Business Mailing Address
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Address Line | 2100 MARKET ST STE 101
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City | CHARLESTOWN
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State | IN
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Zip | 47111-9535
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Country | US
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Telephone | 812-503-5100
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Fax | 770-573-9513
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5051
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | 08002231A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08002231A
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License Number State | IN
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