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General NPI Number Information
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NPI Number | 1477582930
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Entity Type | Individual
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Provider Name | SHIRISHKUMAR N PATEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 1201 PLEASANT VALLEY RD
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City | OWENSBORO
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State | KY
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Zip | 42303-9811
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Country | US
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Telephone | 270-417-4700
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Fax | 270-417-4709
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Provider Business Mailing Address
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Address Line | 1501 COPPER CREEK DR
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City | OWENSBORO
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State | KY
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Zip | 42303-1797
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Country | US
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Telephone | 270-993-0755
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 31587
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 31587
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License Number State | KY
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