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General NPI Number Information
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NPI Number | 1477322998
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Entity Type | Individual
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Provider Name | SHIVANI KIRAN PATEL DPT
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Gender | Female
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Dates
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Enumeration Date | 12/26/2023
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Last Update Date | 12/26/2023
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Provider Practice Location Address
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Address Line | 1301 PENNSYLVANIA AVE SE STE 100
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City | WASHINGTON
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State | DC
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Zip | 20003-3027
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Country | US
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Telephone | 202-455-8644
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Fax |
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Provider Business Mailing Address
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Address Line | 1320 4TH ST NE APT 304
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City | WASHINGTON
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State | DC
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Zip | 20002-7094
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Country | US
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Telephone | 229-200-9762
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 29785
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305215954
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License Number State | VA
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