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General NPI Number Information
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NPI Number | 1598108557
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Entity Type | Individual
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Provider Name | RAVI JAIMINI PATEL D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/09/2013
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 5745 SW 75TH ST UNIT 361
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City | GAINESVILLE
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State | FL
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Zip | 32608-5504
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Country | US
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Telephone | 800-792-5972
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Fax | 425-517-0088
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Provider Business Mailing Address
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Address Line | 5745 SW 75TH ST UNIT 361
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City | GAINESVILLE
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State | FL
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Zip | 32608-5504
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Country | US
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Telephone | 800-792-5972
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Fax | 425-517-0088
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2014036373
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OS14434
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS14434
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License Number State | FL
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