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General NPI Number Information
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NPI Number | 1497300701
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Entity Type | Individual
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Provider Name | NISHA P PATEL FNP
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Gender | Female
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Dates
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Enumeration Date | 08/04/2019
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Last Update Date | 08/04/2019
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Provider Practice Location Address
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Address Line | 301 LOS GATOS SARATOGA RD STE A
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City | LOS GATOS
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State | CA
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Zip | 95030-5327
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Country | US
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Telephone | 408-686-9772
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Fax |
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Provider Business Mailing Address
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Address Line | 28325 FOX HOLLOW DR
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City | HAYWARD
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State | CA
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Zip | 94542-2248
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Country | US
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Telephone | 408-396-1319
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95008418
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License Number State | CA
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