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General NPI Number Information
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NPI Number | 1487891784
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Entity Type | Individual
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Provider Name | CHANDRAKANT C PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 01/08/2009
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Last Update Date | 01/08/2009
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Provider Practice Location Address
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Address Line | 78-6831 ALII DR STE K9
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City | KAILUA KONA
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State | HI
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Zip | 96740-2440
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Country | US
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Telephone | 808-322-2544
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Fax |
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Provider Business Mailing Address
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Address Line | 78-6984 KEWALO PL
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City | KAILUA KONA
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State | HI
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Zip | 96740-2835
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Country | US
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Telephone | 808-322-3910
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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 | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number | 10238
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License Number State | HI
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