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General NPI Number Information
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NPI Number | 1538324355
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Entity Type | Organization
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Legal Business Name | INDU B PATEL MD PC
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Dates
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Enumeration Date | 07/21/2008
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Last Update Date | 03/26/2013
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Provider Practice Location Address
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Address Line | 7105 METROPOLITAN BLVD
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City | BARNHART
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State | MO
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Zip | 63012-1495
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Country | US
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Telephone | 636-464-7032
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Fax | 636-464-5877
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Provider Business Mailing Address
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Address Line | 7105 METROPOLITAN BLVD P.O. BOX 308
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City | BARNHART
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State | MO
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Zip | 63012-1495
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Country | US
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Telephone | 636-464-7032
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Fax | 636-464-5877
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Authorized Official
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Title or Position | PRESIDENT
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Name | INDU B. PATEL
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Credential | M.D.
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Telephone | 636-464-7032
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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 | R7D52
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License Number State | MO
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