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General NPI Number Information
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NPI Number | 1508822362
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Entity Type | Individual
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Provider Name | TRUPTI R PATEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 33200 WARREN RD
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City | WESTLAND
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State | MI
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Zip | 48185-2946
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Country | US
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Telephone | 734-421-4242
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Fax | 734-421-2624
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Provider Business Mailing Address
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Address Line | 1973 GOLF RIDGE DR
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-1724
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Country | US
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Telephone | 734-421-4242
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Fax | 734-421-2624
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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 | 4301060723
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License Number State | MI
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