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General NPI Number Information
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NPI Number | 1568539054
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Entity Type | Individual
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Provider Name | KAUSHIK V PATEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1555 EAST ST SUITE 300
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City | REDDING
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State | CA
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Zip | 96001-1153
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Country | US
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Telephone | 530-242-4683
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Fax | 530-242-8544
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Provider Business Mailing Address
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Address Line | 1555 EAST ST SUITE 300
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City | REDDING
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State | CA
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Zip | 96001-1153
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Country | US
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Telephone | 530-242-4683
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Fax | 530-242-8544
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | A48373
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A48373
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License Number State | CA
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