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General NPI Number Information
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NPI Number | 1538320544
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Entity Type | Individual
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Provider Name | RAJESH ASHOK PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 2301 S MELROSE DR
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City | VISTA
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State | CA
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Zip | 92081-8788
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Country | US
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Telephone | 414-708-7764
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Fax |
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Provider Business Mailing Address
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Address Line | 2301 S MELROSE DR
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City | VISTA
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State | CA
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Zip | 92081-8788
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Country | US
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Telephone | 760-385-3031
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Fax | 760-827-3626
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036133020
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 036133020
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 036133020
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License Number State | IL
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