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General NPI Number Information
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NPI Number | 1588960892
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Entity Type | Individual
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Provider Name | SEJAL C PATEL O.D.
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Gender | Male
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Dates
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Enumeration Date | 02/03/2011
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Last Update Date | 02/03/2011
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Provider Practice Location Address
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Address Line | 8401 COLERAIN AVE
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City | CINCINNATI
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State | OH
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Zip | 45239-3926
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Country | US
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Telephone | 513-898-8620
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Fax | 513-898-8625
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Provider Business Mailing Address
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Address Line | 408 LAURA LN
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City | PHILADELPHIA
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State | PA
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Zip | 19116-1673
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Country | US
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Telephone | 215-941-7450
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Fax |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT-6002
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License Number State | OH
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