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General NPI Number Information
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NPI Number | 1477261550
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Entity Type | Organization
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Legal Business Name | SCVIR PLLC
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Dates
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Enumeration Date | 11/08/2022
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 336 N BABCOCK ST
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City | MELBOURNE
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State | FL
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Zip | 32935-7352
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Country | US
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Telephone | 601-954-8560
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Fax |
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Provider Business Mailing Address
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Address Line | 336 N BABCOCK ST
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City | MELBOURNE
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State | FL
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Zip | 32935-7352
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Country | US
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Telephone | 601-954-8560
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AKASH PATEL
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Credential | MD
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Telephone | 601-954-8560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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