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General NPI Number Information
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NPI Number | 1538831805
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Entity Type | Organization
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Legal Business Name | ABHISHEK PATEL DO PLLC
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Dates
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Enumeration Date | 10/04/2021
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 3607 S LAMAR BLVD APT 1542
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City | AUSTIN
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State | TX
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Zip | 78704-0394
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Country | US
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Telephone | 732-744-6293
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Fax |
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Provider Business Mailing Address
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Address Line | 3607 S LAMAR BLVD APT 1542
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City | AUSTIN
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State | TX
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Zip | 78704-0394
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Country | US
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Telephone | 732-744-6293
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ABHISHEK PATEL
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Credential | DO
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Telephone | 732-744-6293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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