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General NPI Number Information
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NPI Number | 1487071395
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Entity Type | Individual
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Provider Name | BHOUMESH MANOJKUMAR PATEL M.D
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Gender | Male
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Dates
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Enumeration Date | 03/28/2014
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 20 YORK ST
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City | NEW HAVEN
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State | CT
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Zip | 06510-3202
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Country | US
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Telephone | 203-785-2802
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Fax | 203-785-6664
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Provider Business Mailing Address
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Address Line | 331 NEWMAN SPRINGS RD STE 220
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City | RED BANK
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State | NJ
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Zip | 07701-5792
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Country | US
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Telephone | 732-807-0877
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Fax | 201-751-1680
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 66163
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | 66163
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25MA10599300
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License Number State | NJ
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