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General NPI Number Information
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NPI Number | 1497739635
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Entity Type | Individual
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Provider Name | ANIL S PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 05/30/2019
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Provider Practice Location Address
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Address Line | 50 CLINTON ST STE 606A
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City | HEMPSTEAD
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State | NY
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Zip | 11550-4282
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Country | US
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Telephone | 516-489-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 84 CROSBY AVE
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City | ALBERTSON
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State | NY
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Zip | 11507-1847
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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 |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 151060
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License Number State | NY
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