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General NPI Number Information
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NPI Number | 1497228134
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Entity Type | Individual
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Provider Name | MEHUL K PATEL CRNA
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Gender | Male
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Dates
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Enumeration Date | 01/04/2019
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Last Update Date | 04/07/2026
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Provider Practice Location Address
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Address Line | 3651 WHEELER RD
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City | AUGUSTA
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State | GA
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Zip | 30909-6521
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Country | US
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Telephone | 706-533-4601
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Fax |
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Provider Business Mailing Address
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Address Line | 977 BARTRAM RDG
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City | EVANS
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State | GA
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Zip | 30809-7232
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Country | US
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Telephone | 478-278-6134
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 4044134
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN239390
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 8187
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 124626
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License Number State | GA
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