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General NPI Number Information
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NPI Number | 1588588347
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Entity Type | Organization
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Legal Business Name | INTEGRA MEDICAL PARTNERS, PLLC
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 1795 DR FRANK GASTON BLVD
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City | ROCK HILL
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State | SC
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Zip | 29732-1190
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Country | US
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Telephone | 839-400-4440
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Fax | 980-246-2500
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Provider Business Mailing Address
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Address Line | 1505 FUNNY CIDE DR
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City | WAXHAW
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State | NC
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Zip | 28173-7258
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Country | US
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Telephone | 839-400-4440
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Fax | 980-246-2500
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Authorized Official
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Title or Position | OWNER
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Name | JAVED PATKA
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Credential | DO
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Telephone | 839-400-4440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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