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General NPI Number Information
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NPI Number | 1558332551
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Entity Type | Individual
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Provider Name | UTPAL K PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 01/28/2006
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Last Update Date | 12/09/2021
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Provider Practice Location Address
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Address Line | 812 CANDY PARK RD STE 6103
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City | PEMBROKE
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State | NC
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Zip | 28372-9121
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Country | US
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Telephone | 910-561-9727
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Fax | 866-950-0218
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Provider Business Mailing Address
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Address Line | 1249 KILDAIRE FARM RD PMB 371
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City | CARY
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State | NC
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Zip | 27511-5523
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Country | US
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Telephone | 910-561-9727
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Fax | 866-950-0218
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 036115510
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 2005-01380
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License Number State | NC
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