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General NPI Number Information
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NPI Number | 1497053219
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Entity Type | Organization
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Legal Business Name | MILLGROVE MEDICAL CENTER INC
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Dates
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Enumeration Date | 03/02/2011
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Last Update Date | 05/23/2011
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Provider Practice Location Address
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Address Line | 2793 EGYPT RD
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City | AUDUBON
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State | PA
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Zip | 19403-2254
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Country | US
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Telephone | 610-805-7471
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Fax |
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Provider Business Mailing Address
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Address Line | 143 DORSET CIR
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-1051
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NILESH PATEL
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Credential |
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Telephone | 610-792-3645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | MD048674L
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License Number State | PA
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