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General NPI Number Information
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NPI Number | 1508975343
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Entity Type | Individual
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Provider Name | GIRISH PATEL MD PA
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 10/08/2008
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Provider Practice Location Address
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Address Line | 2112 16TH ST N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33704-3924
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Country | US
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Telephone | 727-821-7111
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Fax | 727-821-7115
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Provider Business Mailing Address
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Address Line | 2112 16TH ST N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33704-3924
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Country | US
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Telephone | 727-821-7111
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Fax | 727-821-7115
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0068180
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License Number State | FL
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