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General NPI Number Information
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NPI Number | 1568089860
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Entity Type | Individual
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Provider Name | CHANDNIKUMARI NITINKUMAR PATEL DNP, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/02/2020
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 375 WAMPANOAG TRL
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City | RIVERSIDE
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State | RI
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Zip | 02915-2232
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Country | US
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Telephone | 401-649-4090
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Fax | 401-649-4091
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Provider Business Mailing Address
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Address Line | DEPT 3010, PO BOX 986524
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City | BOSTON
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State | MA
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Zip | 02298-6524
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Country | US
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Telephone | 833-924-5546
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Fax | 401-784-4913
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | RN2320883
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN03494
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | RN2320883
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN03494
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License Number State | RI
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