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General NPI Number Information
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NPI Number | 1487602090
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Entity Type | Individual
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Provider Name | RAJESH DINESH PATEL RPT
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 02/06/2016
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Provider Practice Location Address
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Address Line | 1612 DOWNTOWN WEST BLVD SUITE B
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City | KNOXVILLE
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State | TN
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Zip | 37919-5408
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Country | US
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Telephone | 865-333-4844
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Fax | 888-907-5353
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Provider Business Mailing Address
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Address Line | PO BOX 24683
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City | KNOXVILLE
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State | TN
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Zip | 37933-2683
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Country | US
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Telephone | 865-333-4844
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Fax | 888-907-5353
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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 | PT0000005104
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License Number State | TN
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