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General NPI Number Information
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NPI Number | 1588875819
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Entity Type | Individual
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Provider Name | RISHI R PATEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 17222 HOSPITAL BLVD SUITE 346
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City | BROOKSVILLE
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State | FL
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Zip | 34601-8925
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Country | US
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Telephone | 352-796-3334
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Fax | 352-796-3323
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Provider Business Mailing Address
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Address Line | 17222 HOSPITAL BLVD STE 346
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City | BROOKSVILLE
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State | FL
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Zip | 34601-8925
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Country | US
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Telephone | 352-796-3334
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Fax | 352-796-3323
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 0101258312
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 248030
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | D0076460
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | ME0124368
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 57.011035
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 248030
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 248030
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License Number State | NY
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Taxonomy #8
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | D0076460
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License Number State | MD
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Taxonomy #9
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 0101258312
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License Number State | VA
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Taxonomy #10
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | ME0124368
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License Number State | FL
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