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General NPI Number Information
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NPI Number | 1467919779
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Entity Type | Individual
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Provider Name | RAMNIKLAL VALLABHDAS PATEL MB BS
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Gender | Male
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Dates
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Enumeration Date | 02/22/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | MEMORIAL SLOAN KETTERING CANCER CENTER 1275 YORK AVENUE
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City | NEW YORK, NY 10065
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State | NY
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Zip | 10065-1275
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Country | US
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Telephone | 212-639-2000
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Fax | 212-639-2000
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Provider Business Mailing Address
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Address Line | 425 E 76TH ST APT 8E
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City | NEW YORK
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State | NY
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Zip | 10021-2516
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Country | US
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Telephone | 646-919-4252
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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 | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | P14369
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License Number State | NY
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