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General NPI Number Information
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NPI Number | 1467447904
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Entity Type | Individual
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Provider Name | RENUKA D PATEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/12/2005
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 8311 FLORENCE AVE
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City | DOWNEY
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State | CA
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Zip | 90240-3928
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Country | US
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Telephone | 562-923-4911
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Fax | 562-904-2017
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Provider Business Mailing Address
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Address Line | PO BOX 35380
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City | LAS VEGAS
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State | NV
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Zip | 89133-5380
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Country | US
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Telephone | 714-443-4512
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Fax | 562-286-8777
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A143090
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License Number State | CA
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