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General NPI Number Information
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NPI Number | 1487181590
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Entity Type | Individual
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Provider Name | KEVAT B PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 05/19/2017
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 250 HARRISON ST
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City | TITUSVILLE
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State | FL
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Zip | 32780-5094
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Country | US
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Telephone | 321-268-6868
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Fax | 321-267-2713
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Provider Business Mailing Address
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Address Line | 250 HARRISON ST
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City | TITUSVILLE
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State | FL
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Zip | 32780-5094
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Country | US
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Telephone | 321-268-6868
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Fax | 646-809-8931
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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 | ME141709
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License Number State | FL
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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 | ME141709
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License Number State | FL
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