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General NPI Number Information
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NPI Number | 1538416177
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Entity Type | Individual
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Provider Name | MARGI A PATEL O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/14/2012
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Last Update Date | 11/21/2016
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Provider Practice Location Address
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Address Line | 17560 US HIGHWAY 441
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City | MOUNT DORA
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State | FL
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Zip | 32757-6711
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Country | US
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Telephone | 352-735-2020
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Fax | 352-735-5187
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Provider Business Mailing Address
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Address Line | 17560 US HIGHWAY 441
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City | MOUNT DORA
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State | FL
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Zip | 32757-6711
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Country | US
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Telephone | 352-735-2020
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Fax | 352-735-5187
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 8055T
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 8055TG
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC5179
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License Number State | FL
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