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NPI 1528652740

NPI 1528652740 : DOCRITE LLC : COLUMBUS, GA

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General NPI Number Information
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    NPI Number           |    1528652740
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    Entity Type          |    Organization 
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    Legal Business Name  |    DOCRITE LLC 
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Dates
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    Enumeration Date     |    02/28/2021
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    Last Update Date     |    03/03/2021
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Provider Practice Location Address
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    Address Line         |    5363 VETERANS PKWY 
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    City                 |    COLUMBUS
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    State                |    GA
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    Zip                  |    31904-4423
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    Country              |    US
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    Telephone            |    706-507-5441
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    Fax                  |    706-507-5460
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Provider Business Mailing Address
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    Address Line         |    5363 VETERANS PKWY 
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    City                 |    COLUMBUS
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    State                |    GA
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    Zip                  |    31904-4423
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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    |    COO
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    Name                 |     SHARVIL PIYUSH PATEL 
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    Credential           |    
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    Telephone            |    706-905-2971
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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